Montana - dphhs.mt.gov

MontanaUNIFORM APPLICATION

FY 2020/2021 Community Mental Health Services Block Grant Plan

COMMUNITY MENTAL HEALTH SERVICESBLOCK GRANT

OMB - Approved 04/19/2019 - Expires 04/30/2022(generated on 09/20/2021 4.33.16 PM)

Center for Mental Health ServicesDivision of State and Community Systems Development

Start Year 2020

End Year 2021

Plan Year

Number 051659352

Expiration Date 10/1/2020

State DUNS Number

Agency Name Department of Public Healh and Human Services

Organizational Unit Addictive and Mental Disorders Division

Mailing Address PO Box 202095

City Helena

Zip Code 59620-2905

I. State Agency to be the Grantee for the Block Grant

First Name Dana

Last Name Geary

Agency Name Department of Public Healh and Human Services

Mailing Address PO Box 202905

City Helena

Zip Code 59620-2905

Telephone 406-444-9657

Fax 406-444-9389

Email Address [email protected]

II. Contact Person for the Grantee of the Block Grant

III. Third Party Administrator of Mental Health ServicesDo you have a third party administrator? nmlkji Yes nmlkj No

First Name

Last Name

Agency Name

Mailing Address

City

Zip Code

Telephone

Fax

Email Address

From

To

IV. State Expenditure Period (Most recent State expenditure period that is closed out)

State Information

State Information

Printed: 9/20/2021 4:33 PM - Montana Page 1 of 2Printed: 9/20/2021 4:33 PM - Montana - OMB No. 0930-0168 Approved: 04/19/2019 Expires: 04/30/2022 Page 1 of 101

Submission Date 9/1/2020 11:51:25 PM

Revision Date 9/20/2021 4:33:18 PM

V. Date Submitted

First Name Dana

Last Name Geary

Telephone 406-444-9657

Fax 406-444-9389

Email Address [email protected]

VI. Contact Person Responsible for Application Submission

OMB No. 0930-0168 Approved: 04/19/2019 Expires: 04/30/2022

Footnotes: 8-17-2020 Start Revisions by Dana GearyDUNS number above will expires on 10/01/2020. The Department will be renewing the DUNS number in September 2020. (Dana Geary Notified of this status by Terri Johns on 8-17-2020).8-17-2020 Revisions Ended by Dana Geary


Fiscal Year 2021

U.S. Department of Health and Human ServicesSubstance Abuse and Mental Health Services Administrations

Funding Agreementsas required by

Community Mental Health Services Block Grant Programas authorized by

Title XIX, Part B, Subpart II and Subpart III of the Public Health Service Actand

Tile 42, Chapter 6A, Subchapter XVII of the United States Code

Title XIX, Part B, Subpart II of the Public Health Service Act

Section Title Chapter

Section 1911 Formula Grants to States 42 USC § 300x

Section 1912 State Plan for Comprehensive Community Mental Health Services for Certain Individuals 42 USC § 300x-1

Section 1913 Certain Agreements 42 USC § 300x-2

Section 1914 State Mental Health Planning Council 42 USC § 300x-3

Section 1915 Additional Provisions 42 USC § 300x-4

Section 1916 Restrictions on Use of Payments 42 USC § 300x-5

Section 1917 Application for Grant 42 USC § 300x-6

Title XIX, Part B, Subpart III of the Public Health Service Act

Section 1941 Opportunity for Public Comment on State Plans 42 USC § 300x-51

Section 1942 Requirement of Reports and Audits by States 42 USC § 300x-52

Section 1943 Additional Requirements 42 USC § 300x-53

Section 1946 Prohibition Regarding Receipt of Funds 42 USC § 300x-56

Section 1947 Nondiscrimination 42 USC § 300x-57

Section 1953 Continuation of Certain Programs 42 USC § 300x-63

Section 1955 Services Provided by Nongovernmental Organizations 42 USC § 300x-65

Section 1956 Services for Individuals with Co-Occurring Disorders 42 USC § 300x-66

State Information

Chief Executive Officer's Funding Agreement - Certifications and Assurances / Letter Designating Signatory Authority


ASSURANCES - NON-CONSTRUCTION PROGRAMS

Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified.

As the duly authorized representative of the applicant I certify that the applicant:

1. Has the legal authority to apply for Federal assistance, and the institutional, managerial and financial capability (including funds sufficient to pay the non-Federal share of project costs) to ensure proper planning, management and completion of the project described in this application.

2. Will give the awarding agency, the Comptroller General of the United States, and if appropriate, the State, through any authorized representative, access to and the right to examine all records, books, papers, or documents related to the award; and will establish a proper accounting system in accordance with generally accepted accounting standard or agency directives.

3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the appearance of personal or organizational conflict of interest, or personal gain.

4. Will initiate and complete the work within the applicable time frame after receipt of approval of the awarding agency.

5. Will comply with the Intergovernmental Personnel Act of 1970 (42 U.S.C. §§4728-4763) relating to prescribed standards for merit systems for programs funded under one of the nineteen statutes or regulations specified in Appendix A of OPM's Standard for a Merit System of Personnel Administration (5 C.F.R. 900, Subpart F).

6. Will comply with all Federal statutes relating to nondiscrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) which prohibits discrimination on the basis of race, color or national origin; (b) Title IX of the Education Amendments of 1972, as amended (20 U.S.C. §§1681-1683, and 1685-1686), which prohibits discrimination on the basis of sex; (c) Section 504 of the Rehabilitation Act of 1973, as amended (29 U.S.C. §§794), which prohibits discrimination on the basis of handicaps; (d) the Age Discrimination Act of 1975, as amended (42 U.S.C. §§6101-6107), which prohibits discrimination on the basis of age; (e) the Drug Abuse Office and Treatment Act of 1972 (P.L. 92-255), as amended, relating to nondiscrimination on the basis of drug abuse; (f) the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment and Rehabilitation Act of 1970 (P.L. 91-616), as amended, relating to nondiscrimination on the basis of alcohol abuse or alcoholism; (g) §§523 and 527 of the Public Health Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee-3), as amended, relating to confidentiality of alcohol and drug abuse patient records; (h) Title VIII of the Civil Rights Act of 1968 (42 U.S.C. §§3601 et seq.), as amended, relating to non-discrimination in the sale, rental or financing of housing; (i) any other nondiscrimination provisions in the specific statute(s) under which application for Federal assistance is being made; and (j) the requirements of any other nondiscrimination statute(s) which may apply to the application.

7. Will comply, or has already complied, with the requirements of Title II and III of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 (P.L. 91-646) which provide for fair and equitable treatment of persons displaced or whose property is acquired as a result of Federal or federally assisted programs. These requirements apply to all interests in real property acquired for project purposes regardless of Federal participation in purchases.

8. Will comply with the provisions of the Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328) which limit the political activities of employees whose principal employment activities are funded in whole or in part with Federal funds.

9. Will comply, as applicable, with the provisions of the Davis-Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract Work Hours and Safety Standards Act (40 U.S.C. §§327-333), regarding labor standards for federally assisted construction subagreements.

10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) of the Flood Disaster Protection Act of 1973 (P.L. 93-234) which requires recipients in a special flood hazard area to participate in the program and to purchase flood insurance if the total cost of insurable construction and acquisition is $10,000 or more.

11. Will comply with environmental standards which may be prescribed pursuant to the following: (a) institution of environmental quality control measures under the National Environmental Policy Act of 1969 (P.L. 91-190) and Executive Order (EO) 11514; (b) notification of violating facilities pursuant to EO 11738; (c) protection of wetland pursuant to EO 11990; (d) evaluation of flood hazards in floodplains in accordance with EO 11988; (e) assurance of project consistency with the approved State management program developed under the Costal Zone Management Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of Federal actions to


State (Clear Air) Implementation Plans under Section 176(c) of the Clear Air Act of 1955, as amended (42 U.S.C. §§7401 et seq.); (g) protection of underground sources of drinking water under the Safe Drinking Water Act of 1974, as amended, (P.L. 93-523); and (h) protection of endangered species under the Endangered Species Act of 1973, as amended, (P.L. 93-205).

12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. §§1271 et seq.) related to protecting components or potential components of the national wild and scenic rivers system.

13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. §470), EO 11593 (identification and protection of historic properties), and the Archaeological and Historic Preservation Act of 1974 (16 U.S.C. §§469a-1 et seq.).

14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related activities supported by this award of assistance.

15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et seq.) pertaining to the care, handling, and treatment of warm blooded animals held for research, teaching, or other activities supported by this award of assistance.

16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. §§4801 et seq.) which prohibits the use of lead based paint in construction or rehabilitation of residence structures.

17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act of 1984.

18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations and policies governing this program.

19. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a sub-recipient from (1) Engaging in severe forms of trafficking in persons during the period of time that the award is in effect (2) Procuring a commercial sex act during the period of time that the award is in effect or (3) Using forced labor in the performance of the award or subawards under the award.


LIST of CERTIFICATIONS1. Certification Regarding Debarment and Suspension

The undersigned (authorized official signing for the applicant organization) certifies to the best of his or her knowledge and belief, that the applicant, defined as the primary participant in accordance with 2 CFR part 180, and its principals: a. Agrees to comply with 2 CFR Part 180, Subpart C by administering each lower tier subaward or contract that exceeds $25,000 as a

"covered transaction" and verify each lower tier participant of a "covered transaction" under the award is not presently debarred or otherwise disqualified from participation in this federally assisted project by: a. Checking the Exclusion Extract located on the System for Award Management (SAM) at http://sam.gov

b. Collecting a certification statement similar to paragraph (a)

c. Inserting a clause or condition in the covered transaction with the lower tier contract

2. Certification Regarding Drug-Free Workplace Requirements

The undersigned (authorized official signing for the applicant organization) certifies that the applicant will, or will continue to, provide a drug-free work-place in accordance with 2 CFR Part 182by:a. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a

controlled substance is prohibited in the grantee's work-place and specifying the actions that will be taken against employees for violation of such prohibition;

b. Establishing an ongoing drug-free awareness program to inform employees about-- 1. The dangers of drug abuse in the workplace;

2. The grantee's policy of maintaining a drug-free workplace;

3. Any available drug counseling, rehabilitation, and employee assistance programs; and

4. The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace;

c. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph (a) above;

d. Notifying the employee in the statement required by paragraph (a), above, that, as a condition of employment under the grant, the employee will-- 1. Abide by the terms of the statement; and

2. Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction;

e. Notifying the agency in writing within ten calendar days after receiving notice under paragraph (d)(2) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant;

f. Taking one of the following actions, within 30 calendar days of receiving notice under paragraph (d) (2), with respect to any employee who is so convicted? 1. Taking appropriate personnel action against such an employee, up to and including termination, consistent with the

requirements of the Rehabilitation Act of 1973, as amended; or

2. Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency;

g. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs (a), (b), (c), (d), (e), and (f).

3. Certifications Regarding Lobbying

Per 45 CFR §75.215, Recipients are subject to the restrictions on lobbying as set forth in 45 CFR part 93. Title 31, United States Code, Section 1352, entitled "Limitation on use of appropriated funds to influence certain Federal contracting and financial transactions,"


generally prohibits recipients of Federal grants and cooperative agreements from using Federal (appropriated) funds for lobbying the Executive or Legislative Branches of the Federal Government in connection with a SPECIFIC grant or cooperative agreement. Section 1352 also requires that each person who requests or receives a Federal grant or cooperative agreement must disclose lobbying undertaken with non-Federal (non- appropriated) funds. These requirements apply to grants and cooperative agreements EXCEEDING $100,000 in total costs.

The undersigned (authorized official signing for the applicant organization) certifies, to the best of his or her knowledge and belief, that1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned to any person for influencing

or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federally appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions. (If needed, Standard Form-LLL, "Disclosure of Lobbying Activities," its instructions, and continuation sheet are included at the end of this application form.)

3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

4. Certification Regarding Program Fraud Civil Remedies Act (PFCRA) (31 U.S.C § 3801- 3812)

The undersigned (authorized official signing for the applicant organization) certifies that the statements herein are true, complete, and accurate to the best of his or her knowledge, and that he or she is aware that any false, fictitious, or fraudulent statements or claims may subject him or her to criminal, civil, or administrative penalties. The undersigned agrees that the applicant organization will comply with the Public Health Service terms and conditions of award if a grant is awarded as a result of this application.

5. Certification Regarding Environmental Tobacco Smoke

Public Law 103-227, also known as the Pro-Children Act of 1994 (Act), requires that smoking not be permitted in any portion of any indoor facility owned or leased or contracted for by an entity and used routinely or regularly for the provision of health, daycare, early childhood development services, education or library services to children under the age of 18, if the services are funded by Federal programs either directly or through State or local governments, by Federal grant, contract, loan, or loan guarantee. The law also applies to children's services that are provided in indoor facilities that are constructed, operated, or maintained with such Federal funds. The law does not apply to children's services provided in private residence, portions of facilities used for inpatient drug or alcohol treatment, service providers whose sole source of applicable Federal funds is Medicare or Medicaid, or facilities where WIC coupons are redeemed.

Failure to comply with the provisions of the law may result in the imposition of a civil monetary penalty of up to $1,000 for each violation and/or the imposition of an administrative compliance order on the responsible entity.

By signing the certification, the undersigned certifies that the applicant organization will comply with the requirements of the Act and will not allow smoking within any portion of any indoor facility used for the provision of services for children as defined by the Act.

The applicant organization agrees that it will require that the language of this certification be included in any subawards which contain provisions for children's services and that all subrecipients shall certify accordingly.


The Public Health Services strongly encourages all grant recipients to provide a smoke-free workplace and promote the non-use of tobacco products. This is consistent with the PHS mission to protect and advance the physical and mental health of the American people.

HHS Assurances of Compliance (HHS 690)

ASSURANCE OF COMPLIANCE WITH TITLE VI OF THE CIVIL RIGHTS ACT OF 1964, SECTION 504 OF THE REHABILITATION ACT OF 1973, TITLE IX OF THE EDUCATION AMENDMENTS OF 1972, THE AGE DISCRIMINATION ACT OF 1975, AND SECTION 1557 OF THE AFFORDABLE CARE ACT

The Applicant provides this assurance in consideration of and for the purpose of obtaining Federal grants, loans, contracts, property, discounts or other Federal financial assistance from the U.S. Department of Health and Human Services.

THE APPLICANT HEREBY AGREES THAT IT WILL COMPLY WITH:

1. Title VI of the Civil Rights Act of 1964 (Pub. L. 88-352), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 80), to the end that, in accordance with Title VI of that Act and the Regulation, no person in the United States shall, on the ground of race, color, or national origin, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department.

2. Section 504 of the Rehabilitation Act of 1973 (Pub. L. 93-112), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 84), to the end that, in accordance with Section 504 of that Act and the Regulation, no otherwise qualified individual with a disability in the United States shall, solely by reason of her or his disability, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department.

3. Title IX of the Education Amendments of 1972 (Pub. L. 92-318), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 86), to the end that, in accordance with Title IX and the Regulation, no person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any education program or activity for which the Applicant receives Federal financial assistance from the Department.

4. The Age Discrimination Act of 1975 (Pub. L. 94-135), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 C.F.R. Part 91), to the end that, in accordance with the Act and the Regulation, no person in the United States shall, on the basis of age, be denied the benefits of, be excluded from participation in, or be subjected to discrimination under any program or activity for which the Applicant receives Federal financial assistance from the Department.

5. Section 1557 of the Affordable Care Act (Pub. L. 111-148), as amended, and all requirements imposed by or pursuant to the Regulation of the Department of Health and Human Services (45 CFR Part 92), to the end that, in accordance with Section 1557 and the Regulation, no person in the United States shall, on the ground of race, color, national origin, sex, age, or disability be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any health program or activity for which the Applicant receives Federal financial assistance from the Department.

The Applicant agrees that compliance with this assurance constitutes a condition of continued receipt of Federal financial assistance, and that it is binding upon the Applicant, its successors, transferees and assignees for the period during which such assistance is provided. If any real property or structure thereon is provided or improved with the aid of Federal financial assistance extended to the Applicant by the Department, this assurance shall obligate the Applicant, or in the case of any transfer of such property, any transferee, for the period during which the real property or structure is used for a purpose for which the Federal financial assistance is extended or for another purpose involving the provision of similar services or benefits. If any personal property is so provided, this assurance shall obligate the Applicant for the period during which it retains ownership or possession of the property. The Applicant further recognizes and agrees that the United States shall have the right to seek judicial enforcement of this assurance.

The grantee, as the awardee organization, is legally and financially responsible for all aspects of this award including funds provided to sub-recipients in accordance with 45 CFR §§ 75.351-75.352, Subrecipient monitoring and management.


I hereby certify that the state or territory will comply with Title XIX, Part B, Subpart II and Subpart III of the Public Health Service (PHS) Act, as amended, and summarized above, except for those sections in the PHS Act that do not apply or for which a waiver has been granted or may be granted by the Secretary for the period covered by this agreement.

I also certify that the state or territory will comply with the Assurances Non-Construction Programs and Certifications summarized above.

Name of Chief Executive Officer (CEO) or Designee: Zoe Barnard

Signature of CEO or Designee1:

Title: Administrator - DPHHS - AMDD Date Signed:

mm/dd/yyyy

1If the agreement is signed by an authorized designee, a copy of the designation must be attached.


Footnotes:










COVID-19 Supplemental Funding Plan for FY 21

Montana Mental Health Block Grant Plan

Coronavirus Response and Relief Supplement Appropriations Act, 2021

1. Identify the needs and gaps of your state’s mental health services in the context of

COVID-19.

Montana utilizes the MHBG funds along with other state and federal funds to provide

comprehensive community mental health services to adults with serious mental illness (SMI) and

children with serious emotional disturbance (SED). Unfortunately, the COVID-19 pandemic has

impacted individuals with mental illness in MT and AMDD along with key partners and

stakeholders have identified the following gaps in the behavioral health system that have existed but

have been underscored as major needs due to the pandemic.

The gaps identified within our current behavioral health continuum include:

• Increase mental health and substance use/misuse prevention and early intervention

activities. These include more widely available universal and targeted messaging as part

of social outreach and evidence-based or best practice programming, as well as early

screening for depression, substance misuse, and overall behavioral health wellness.

• Increase access to 24/7 crisis response services that include crisis lines, mobile crisis and

community outreach services for individuals experiencing a mental health or substance-

related crisis. This also includes expanding crisis services provided by peers.

• Increase access for youth who experience a First Episode Psychosis to more locations in

MT, particularly in Central and Western MT.

• Increase behavioral health therapy, pharmaceutical, and care coordination services for

adults with a diagnosed Serious Mental Illness (SMI) who are re-entering the community

from an inpatient facility and/or jail.

• Increase recovery support services with more coordination around support services that

include housing, peer support, transportation, and employment support.


Montana MHBG COVID-19 Supplemental Funding Plan FY 21 pg. 2 of 5

2. Describe how your state’s spending plan proposal addresses the needs and gaps.

The Coronavirus Relief and Response Supplemental funds will provide support to address the

needs as highlighted above:

• Develop and implement a social outreach plan that includes a universal and targeted

campaign to raise public awareness around mental health resiliency, provide free training

to partners, stakeholders, families and individuals at risk for behavioral health disorders

to prevent unaddressed behavioral health needs.

The funding for this project is $200,000.

• Provide enhanced training and technical assistance to healthcare providers (primary care,

public health nurses, FQHCs, Community Health Centers, Rural Health Clinics, Tribal

Health programs) to assess for depression, mental health wellness, and substance misuse.


• Provide the required 10% set aside for these funds to expand First Episode Psychosis

through the administrative procurement process for one additional site to cover Western

and Central MT. The funding for this project is $255,000.

• Provide prison and jail re-entry and enhanced discharge from inpatient settings in order to reduce

risks of COVID-19 transmission during the transition to a community-based setting. The funding

will include care coordination services to ensure continuity of care.

The funding for this project will be $500,000.

• Provide community health workers to connect with and provide follow-up to individuals

with SED and SMI to connect individuals to behavioral health support services in

healthcare gap areas (areas with limited access to behavioral health services). This will be

a short-term project to identify the percentage of reduced mental health crisis, emergency

department admissions, or involuntary admission to the MT State Hospital, as well as

potential sustainability of this service under other funding sources.


• Provide three additional PATH sites in the areas of the state where gaps currently exist

(northeast, central, southwest). The additional PATH sites will ensure all areas of MT are

covered with resources to help connect housing and assistance with employment and

SSI/SSDI benefits. These additional PATH sites will be contracted through the

administrative procurement process at $250,000 each.




3. Describe how the state will advance the development of crisis services based on the

National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit. The five

percent crisis services set-aside applies to these funds.

The primary MHBG has allocated the required crisis service funds through an array of programs

that include Crisis System Capacity Building to include resource mapping, strategic planning,

and community collaboration; Crisis Intervention Team (CIT) trainings for law enforcement and

first responders, and Jail-Based Services that includes case management, care coordination, and

medication and prescription. Additional funding for crisis services in MT are braided to expand

capability to meet the significant crisis needs and current discussions are underway to explore

potential funding within a Medicaid-reimbursement model. The proposed Montana Medicaid

funded services are: Mobile Crisis Response services; Crisis Stabilization Services;; and

expanded Crisis Receiving and Stabilization Facilities. County Matching and Crisis Diversion

Grants are a State general fund supported source of crisis funding that allows for multiple

community needs related to crisis, including capital improvements and Detention Center

Transition Services. However, the Coronavirus Supplemental Funds can provide support for the

identified imminent crisis-system needs:

• Provide access to increased call-volume capacity among the existing MT suicide

prevention Help Lines. This will include enhanced coordination among the existing MT

Help Lines to shore up the state-wide crisis response system resources. This will include

incorporating chat and text as well as call capability, as well as improved coordination to

improve access and linkage to existing community resources and referral information,

local community crisis services (including 911 PSAPs, mobile crisis teams and other

outreach alternatives to law enforcement/EMS response); protocol for consistent follow-

up services to 9-8-8 callers; and develop and implement a public campaign for 9-8-8

awareness.

The funding for this project is $849,604 (includes the 5% required set-aside for Crisis,

$126,558).

4. Explain how your state plans to collaborate with other departments or agencies to

address the identified needs.

The Addictive and Mental Disorder Division (AMDD) is responsible for all oversight of mental

health and substance use continuum of care in MT including Medicaid State Plan Amendments,

CMS Waivers, provider requirements and reimbursement for behavioral health services. AMDD

has established strong working relationships with service providers organizations, including the

Children and Family Services Division that manages foster care and child protection services;

the DPHHS Public Health and Safety Division, that oversees all Chronic Disease, Tobacco

Prevention and local public health services; the Health Resources Division that oversees all

healthcare and hospital / outpatient clinic Medicaid Services; as well as partner agencies outside

of the DPHHS, which include the Behavioral Health Alliance of MT, a membership organization

of all mental health centers, substance use disorder treatment providers, FQHC and hospitals

implementing integrated behavioral health; the MT Primary Care Association; the MT Hospital

Association; the MT Peer Network; the Behavioral Health Advisory Council; and the Board of



Behavioral Health with the Department of Labor; and the Service Area Authorities (SAA) and

Local Advisory Councils (LAC) that represent a consumer perspective on needs and gaps.

Additionally, AMDD also received has been very involved in state and local public health

COVID discussions to identify behavioral health impact and/or needs through this existing

relationship that have been enhanced due to COVID planning. By working collaboratively with

all these partners organizations, AMDD will continue to assess the ongoing needs and identify

how these funds are addressing the needs.

5. If your state plans to utilize any of the waiver provisions or the recommendations

listed in this guidance, please explain how your state will implement them with these funds.

(These waivers are only applicable to these COVID-19 Relief supplemental funds and not

to the regular or FY 2021 MHBG funds. States will be required to provide documentation

ensuring these funds are tracked separately.)

Montana is requesting to use Coronavirus Supplemental funding for the following

recommendations as outlined in the March 11, 2021 letter from Tom Coderre, Acting Assistant

Secretary:

Mental Health Awareness training for first responders and other: As part of the social outreach

plan outlined under #2 above, mental health awareness training will be coordinated and made

available to all EMS and first responders, to identify strategies for self-care as well as identifying

effective response to an individual demonstrating a mental health concern. MT has received a

Regular Service Program Crisis Counseling Grant through SAMHSA and FEMA and is

promoting access to a Crisis Counseling hotline for healthcare providers, however, more training

and access to self-care strategies, as well as training on response techniques to best support

individuals in a mental health crisis, is needed. The training for First Responders will be

coordinated and tracked separate from the other social outreach efforts outlined under #2.

Additionally, the expenses for this training will be tracked separately from other training events.



6. COVID-19 Supplemental Funding Budget (Table 2)

MHBG Funding Categories Amount of COVID

Supplement Funding

Required* / Allowed Set-

Aside

Mental Health Primary

Prevention

$300,000

First Episode Psychosis $255,000 $253,116 *

Other 24 Hour Care (Crisis) $849,604 $126,558 *

Community Non-24 Care $1,000,000

Administration $126,558 $126,558

Total $2,531,162




Montana MHBG Coronavirus Response and Relief Supplemental Funding Plan FY 21 pg. 1 of 8

1. Identify the needs and gaps of your state’s mental health services in the context of

COVID-19.

Montana utilizes the MHBG funds along with other state and federal funds to provide

comprehensive community mental health services to adults with serious mental illness (SMI) and

children with serious emotional disturbance (SED). Unfortunately, the COVID-19 pandemic has

impacted individuals with mental illness in MT and AMDD along with key partners and

stakeholders have identified the following gaps in the behavioral health system that have existed but

have been underscored as major needs due to the pandemic.


• Increase prevention and early intervention activities that target populations with risk

factors for behavioral health needs. These include more widely available universal and

targeted messaging as part of social outreach and evidence-based or best practice

programming, as well as early screening for depression, substance misuse, and overall

behavioral health wellness. The focus of these efforts will be to identify early signs of

SED for referral to First Episode Psychosis programs, prevention of suicide through early

screening and identification of resources, and prevention of acute mental health needs

through promotion of social emotional skills and community resources.

• Increase access to 24/7 crisis response services that include crisis lines, mobile crisis and

community outreach services for individuals experiencing a mental health or substance-

related crisis. This also includes expanding crisis services provided by peers.

• Increase access for youth who experience a First Episode Psychosis to more locations in

MT, particularly in Central and Western MT.

• Increase behavioral health therapy, pharmaceutical, and care coordination services for

adults with a diagnosed Serious Mental Illness (SMI) who are re-entering the community

from an inpatient facility and/or jail.

• Increase recovery support services with more coordination around support services that




2. Describe how your state’s spending plan proposal addresses the needs and gaps.

The Coronavirus Relief and Response Supplemental funds will provide support to address the

needs as highlighted above:

• Develop and implement a social outreach plan that includes a universal and targeted

campaign to raise public awareness around mental health resiliency, promote community

awareness about signs and symptoms of early psychosis to promote early access to First

Psychosis Program to prevent untreated SED, provide free training to SED/SMI

stakeholders, community partners, behavioral and other healthcare providers, and

families and individuals at risk for SED/SMI or co-occurring behavioral health disorders

to prevent unaddressed mental health needs.


• Provide enhanced training and technical assistance to healthcare providers (primary care,

public health nurses, FQHCs, Community Health Centers, Rural Health Clinics, Tribal

Health programs) to assess for depression, mental health wellness, and substance misuse.

This training and technical assistance will provide access to evidence-based and validated

screening tools that will identify individuals at risk for SED/SMI for follow-up care with

a behavioral health provider to prevent untreated or worsening SED/SMI symptoms. This

training will also include Mental Health First Aid and other mental health training to law

enforcement, EMS, First Responders, Firefighters.


• Provide the required 10% set aside for these funds to expand First Episode Psychosis

through the administrative procurement process for one additional site to cover Western

and Central MT. These services will be awarded to a mental health system that meets the

requirements for a FEP program and has experience serving SED/SMI.


• Provide transitional support for individuals with a SMI discharging from a prison or jail

setting to the community. The care coordination will ensure individuals have access to safe and

supportive housing, follow-up behavioral and medical care with community providers,

medication management, and access to COVID-19 vaccination (if not already provided by the

correctional facility). The purpose of this project is to provide continuity of care for behavioral

health and establish other support services to prevent the SMI symptoms to go untreated or

worsen and prevent reentry to the jail/prison. The funding for this project will be $500,000.

• Provide community health workers to connect with and provide follow-up to individuals

with SED and SMI to connect individuals to behavioral health support services in

healthcare gap areas (areas with limited access to behavioral health services). This will be

a short-term project to identify the percentage of reduced mental health crisis, emergency

department admissions, or involuntary admission to the MT State Hospital, as well as

potential sustainability of this service under other funding sources.




• Provide three additional PATH sites in the areas of the state where gaps currently exist

(northeast, central, southwest). The additional PATH sites will ensure all areas of MT are

covered with resources to help connect housing and assistance with employment and

SSI/SSDI benefits. Each PATH site will provide a fulltime Program Coordinator who

will be responsible for managing the program and collecting the required data; a parttime

or fulltime Program Specialist who will provide case management / care coordination

services by connecting the individual to housing and other support services; a parttime or

fulltime Housing Coordinator who will work in the community to make sure housing

needs are met for individuals with SED/SMI. The PATH funds will be closely monitored

to ensure no more than 20% of the funds are used for direct housing expenses. These

three sites will be funded with a blend of the Coronavirus Response and Relief

Supplemental funds and state general funds and the contractors will be selected through

the administrative procurement process. Each PATH program will receive $250,000 each

for an annual contract.




3. Describe how the state will advance the development of crisis services based on the

National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit. The five

percent crisis services set-aside applies to these funds.

The primary MHBG has allocated the required crisis service funds through an array of programs

that include Crisis System Capacity Building to include resource mapping, strategic planning,

and community collaboration; Crisis Intervention Team (CIT) trainings for law enforcement and

first responders; and case management, care coordination, and medication management for

individuals with SED/SMI. The Primary MHBG funds are coupled with additional state funding

to expand capability to meet the significant crisis needs. These funds are disseminated through

County Tribal Matching and Crisis Diversion Grants that all counties and tribes can apply for

annually. These funds supported a variety of crisis services within a community that follow the

National Guidelines for Behavioral Health Crisis Care. All counties are invited to attend

Community Learning Collaboration monthly calls with AMDD to receive technical assistance on

these National Guidelines to ensure best practices for crisis care are implemented in these

communities. Current discussions are underway to explore potential funding within a Medicaid-

reimbursement model to sustain best practice community crisis work. The proposed Montana

Medicaid funded services are: Mobile Crisis Response services; Crisis Stabilization Services;

and expand Crisis Receiving and Stabilization Facilities. These supplemental funds can provide

support for the identified imminent crisis-system needs through the following proposal:

• Provide access to increased call-volume capacity among the existing MT suicide

prevention Help Lines. This will include enhanced coordination among the existing MT

Help Lines to shore up the state-wide crisis response system resources. This will include

incorporating chat and text as well as call capability, as well as improved coordination to

improve access and linkage to existing community resources and referral information,

local community crisis services (including 911 PSAPs, mobile crisis teams and other

outreach alternatives to law enforcement/EMS response); protocol for consistent follow-

up services to 9-8-8 callers; and develop and implement a public campaign for 9-8-8

awareness.

The funding for this project is $849,604 (includes the 5% required set-aside for Crisis,

$126,558).

4. Explain how your state plans to collaborate with other departments or agencies to

address the identified needs.

The Addictive and Mental Disorder Division (AMDD) is responsible for all oversight of

Medicaid, state and federally funded SMI/SUD and FEP programs including Medicaid State Plan

Amendments, CMS Waivers, provider requirements and reimbursement for behavioral health

services. The Children’s Mental Health Bureau is responsible for Medicaid funded SED

treatment and the CMHB works very closely with AMDD on SED needs and services across

MT. AMDD has established strong working relationships with service providers organizations,

including the Children and Family Services Division that manages foster care and child

protection services; the DPHHS Public Health and Safety Division, that oversees all Chronic

Disease, Tobacco Prevention and local public health services; the Health Resources Division that



oversees all healthcare and hospital / outpatient clinic Medicaid Services; as well as partner

agencies outside of the DPHHS, which include the Behavioral Health Alliance of MT, a

membership organization of all mental health centers, substance use disorder treatment

providers, FQHC and hospitals implementing integrated behavioral health; the MT Primary Care

Association; the MT Hospital Association; the MT Peer Network; the Behavioral Health

Advisory Council; and the Board of Behavioral Health with the Department of Labor; and the

Service Area Authorities (SAA) and Local Advisory Councils (LAC) that represent a consumer

perspective on needs and gaps. AMDD also manages supported employment (IPS) contracts

under the primary MHBG as well as the PATH grant to ensure individuals with SMI/SED have

access to support services to live a quality life in the community. AMDD provides leadership and

access to evidence-based and best practice resources, tools, and training/technical assistance for

SMI/SED and crisis care services.

Additionally, AMDD also received has been very involved in state and local public health

COVID discussions to identify behavioral health impact and/or needs through this existing

relationship that have been enhanced due to COVID planning. By working collaboratively with

all these partners organizations, AMDD will continue to assess the ongoing needs and identify

how these funds are addressing the needs.

5. If your state plans to utilize any of the waiver provisions or the recommendations

listed in this guidance, please explain how your state will implement them with these funds.

(These waivers are only applicable to these COVID-19 Relief supplemental funds and not

to the regular or FY 2021 MHBG funds. States will be required to provide documentation

ensuring these funds are tracked separately.)

Montana is not requesting a waiver for any services.



6. Montana Coronavirus Response and Relief Supplemental Funding Budget

Table 2


Supplement Funding

Required* / Allowed Set-

Aside

Mental Health Primary

Prevention

$300,000

First Episode Psychosis $255,000 $253,116 *

Other 24 Hour Care (Crisis) $849,604 $126,558 *

Community Non-24 Care $1,000,000

Administration $126,558 $126,558

Total $2,531,162

Detailed Budget & Justification Category Current

Budget

Proposed Re-

budgeted

Amount

*Non-Federal

Match (if

applicable)

Total COVID-19

Revised Budget

ADMINISTRATION

Personnel $26,749 N/A N/A $26,749

Fringe $11,066 N/A N/A $11,066

Supplies $600 N/A N/A $600

Equipment $0 N/A N/A $0

Travel $2,000 N/A N/A $2,000

Other $86,143 N/A N/A $86,143

ADMINISTRATION

SUBTOTAL $126,558 $126,558

DIRECT SERVICE

Prevention $300,000 N/A N/A $300,000

First Episode Psychosis

Prevention

Contractual

$255,000 N/A N/A $255,000

Crisis (Other 24-

Hour Care)

$849,604 N/A N/A $849,604

Community (Non-24

Hour) $1,000,000 N/A N/A $1,000,000

DIRECT SERVICE

SUBTOTAL $2,404,604 $2,404,604



GRAND TOTAL

(ADMIN & DIRECT

SERVICE) $2,531,162 $2,531,162

Administration Cost Justification

Personnel – Additional 0.5 FTE will be hired to administer the expansion of contract development and processing of invoices, federal fiscal reporting requirements for these contracts.

Fringe –Payroll taxes and fringe benefits are calculated at 17.63% of base salary and a lump sum of for health insurance. The taxes and fringe details include Medicare (1.45%); Social Security (6.20 %); Workers' Compensation (.76%); Retirement (8.87%); and Unemployment (0.25%).

Supplies – General office supplies are calculated at $50/month.

Equipment – N/A

Travel – Local site visits allows the program manager to visit the sub-contractors and ensure all needs and requirements are being met. Travel is estimated at 400 miles to 5 subcontractors. This includes mileage, per diem and lodging for up to 10 nights.

Other – Montana DPHHS is a public assistance agency because it administers programs like Medicaid, TANF, SNAP, and as such does not apply a single approved rate to grants or awards as a means of allocating indirect costs. There is a federal regulation [2 CFR 200. Appendix VI] that states all public assistance agencies will develop, document, and implement a public assistance cost allocation plan (PACAP).

Direct Service Cost Justification

Contractual Total Cost MHBG Funding

Category Project Description

Prevention

Implement mental health awareness campaign to promote awareness of FEP, mental health resiliency, suicide prevention. One contractor will be procured to develop and implement the campaign using social medica, earned media and other radio, television ads.

$ 200,000.00

Prevention

Provide training and technical assistance to providers on evidence-based screening tools for FEP, suicide risk, depression, other behavioral health disorders. A contractor will be procured with expertise in mental health screening. Trainings will be made available through onsite and virtual trainings.

$100,000

FEP

Expand FEP to cover Central and Western MT by procuring a mental health clinic that has the expertise and resources in treating SED and SMI populations. This will result in one contract that will be procured through the state bidding process.

$ 255,000.00



Crisis 24-Hour Care

These funds will be awarded through the state bidding process to 2-3 existing MT suicide prevention helplines. Funds may additionally be used to secure training and technical assistance to support fidelity to the Helpline model.

$ 849,604.00

Community Non-24 Hour Care

Contract with MT counties through the state procurement system to provide support services to individuals with SMI who are transitioning from the jail/prison to the community. These funds will be provided to counties and tracked closely to ensure SMI population are being served under this project.

$ 500,000.00


Contract with identified mental health or community healthcare providers to hire Community Health Workers. The funds will cover the CHW salary / benefits, until a rate for these services can be established.

$ 250,000.00


Fund up to 3 PATH sites (combined with state funding). Sites selected will be procured through the state bidding process and will have experience with serving SMI populations and housing / social security disability insurance.

$ 250,000.00


SED



1. Identify the needs and gaps of your state’s mental health services in the context of COVID-19.

Montana utilizes the MHBG funds along with other state and federal funds to provide comprehensive community mental health services to adults with serious mental illness (SMI) and children with serious emotional disturbance (SED). Unfortunately, the COVID-19 pandemic has impacted individuals with mental illness in MT and AMDD along with key partners and stakeholders have identified the following gaps in the behavioral health system that have existed but have been underscored as major needs due to the pandemic.


Increase early intervention by reducing the wait time that an individual experiences psychosis as much as possible so the individual receives the best possible chance for recovery. Utilizing an evidence-based practice program that was originally named (RAISE) Recovery experience first episode psychosis and their families to successfully find their way to a functional well-being as well as services they may need within the mental health system.

Increase access to 24/7 crisis response services that include crisis lines, mobile crisis and

community outreach services for individuals experiencing a mental health or substance- related crisis. This also includes expanding crisis services provided by peers.

Increase access for youth who experience a First Episode Psychosis to more locations in MT, particularly in Central and Western MT.

Increase behavioral health therapy, pharmaceutical, and care coordination services for

adults with a diagnosed Serious Mental Illness (SMI) who are re-entering the community from an inpatient facility and/or jail.

Increase recovery support services with more coordination around support services that




2. Describe how your state’s spending plan proposal addresses the needs and gaps. The Coronavirus Relief and Response Supplemental funds will provide support to address the needs as highlighted above:

Engage outreach plans dedicated to targeting those who live with behavioral health issues, including, family members, clinicians, grantees and other stakeholders to ensure evidence-based practices are used to reduce the stigma that has been a significant barrier to many individuals receiving services for their behavioral health needs. Additionally, develop and promote a statewide network of Trainings to better serve behavioral health providers, first responders, law enforcement, FEP programs, peers, and family members. An example of such trainings may include Mental Health First Aid, Motivational Interviewing, Cognitive Behavioral Therapy, Trauma Informed Care, and Wellness Recovery Action Plan (WRAP). The funding for this project is $200,000.

Provide enhanced training and technical assistance to healthcare providers (primary care,

public health nurses, FQHCs, Community Health Centers, Rural Health Clinics, Tribal Health programs) to assess for depression, mental health wellness, and substance misuse. This training and technical assistance will provide access to evidence-based and validated screening tools that will identify individuals at risk for SED/SMI for follow-up care with a behavioral health provider to prevent untreated or worsening SED/SMI symptoms. This training will also include Mental Health First Aid and other mental health training to law enforcement, EMS, First Responders, Firefighters. The funding for this project is $100,000.

Provide the required 10% set aside for these funds to expand First Episode Psychosis

through the administrative procurement process for one additional site to cover Western and Central MT. These services will be awarded to a mental health system that meets the requirements for a FEP program and has experience serving SED/SMI. The funding for this project is $255,000.

Provide transitional support for individuals with a SMI discharging from a prison or jail

setting to the community. The care coordination will ensure individuals have access to safe and supportive housing, follow-up behavioral and medical care with community providers, medication management, and access to COVID-19 vaccination (if not already provided by the correctional facility). The purpose of this project is to provide continuity of care for behavioral health and establish other support services to prevent the SMI symptoms to go untreated or worsen and prevent reentry to the jail/prison. The funding for this project will be $500,000.

Provide community health workers to connect with and provide follow-up to individuals

with SED and SMI to connect individuals to behavioral health support services in healthcare gap areas (areas with limited access to behavioral health services). This will be a short-term project to identify the percentage of reduced mental health crisis, emergency department admissions, or involuntary admission to the MT State Hospital, as well as potential sustainability of this service under other funding sources. The funding for this project is $250,000.

Montana MHBG Coronavirus Response and Relief Supplemental Funding Plan FY 21 pg. 2 of 8 Printed: 9/20/2021 4:33 PM - Montana Page 30 of 36Printed: 9/20/2021 4:33 PM - Montana - OMB No. 0930-0168 Approved: 04/19/2019 Expires: 04/30/2022 Page 32 of 101

Provide three additional PATH sites in the areas of the state where gaps currently exist (northeast, central, southwest). The additional PATH sites will ensure all areas of MT are covered with resources to help connect housing and assistance with employment and SSI/SSDI benefits. Each PATH site will provide a fulltime Program Coordinator who will be responsible for managing the program and collecting the required data; a parttime or fulltime Program Specialist who will provide case management / care coordination services by connecting the individual to housing and other support services; a parttime or fulltime Housing Coordinator who will work in the community to make sure housing needs are met for individuals with SED/SMI. The Coronavirus Response and Relief Supplemental funds will be used for outreach, engagement, and educational purposes. These three sites will be funded with a blend of the Coronavirus Response and Relief Supplemental funds and state general funds, the contractors will be selected through the administrative procurement process. Each PATH program will receive $250,000 each for an annual contract. The funding for this project is $250,000.



3. Describe how the state will advance the development of crisis services based on the National Guidelines for Behavioral Health Crisis Care: Best Practice Toolkit. The five percent crisis services set-aside applies to these funds.

The primary MHBG has allocated the required crisis service funds through an array of programs that include Crisis System Capacity Building to include resource mapping, strategic planning, and community collaboration; Crisis Intervention Team (CIT) trainings for law enforcement and first responders; and case management, care coordination, and medication management for individuals with SED/SMI. The Primary MHBG funds are coupled with additional state funding to expand capability to meet the significant crisis needs. These funds are disseminated through County Tribal Matching and Crisis Diversion Grants that all counties and tribes can apply for annually. These funds supported a variety of crisis services within a community that follow the National Guidelines for Behavioral Health Crisis Care. All counties are invited to attend Community Learning Collaboration monthly calls with AMDD to receive technical assistance on these National Guidelines to ensure best practices for crisis care are implemented in these communities. Current discussions are underway to explore potential funding within a Medicaid- reimbursement model to sustain best practice community crisis work. The proposed Montana Medicaid funded services are: Mobile Crisis Response services; Crisis Stabilization Services; and expand Crisis Receiving and Stabilization Facilities. These supplemental funds can provide support for the identified imminent crisis-system needs through the following proposal:

Provide access to increased call-volume capacity among the existing MT suicide

prevention Help Lines. This will include enhanced coordination among the existing MT Help Lines to shore up the state-wide crisis response system resources. This will include incorporating chat and text as well as call capability, as well as improved coordination to improve access and linkage to existing community resources and referral information, local community crisis services (including 911 PSAPs, mobile crisis teams and other outreach alternatives to law enforcement/EMS response); protocol for consistent follow- up services to 9-8-8 callers; and develop and implement a public campaign for 9-8-8 awareness. The funding for this project is $849,604 (includes the 5% required set-aside for Crisis, $126,558).

4. Explain how your state plans to collaborate with other departments or agencies to address the identified needs.

The Addictive and Mental Disorder Division (AMDD) is responsible for all oversight of Medicaid, state and federally funded SMI/SUD and FEP programs including Medicaid State Plan Amendments, CMS Waivers, provider requirements and reimbursement for behavioral health services. The Children’s Mental Health Bureau is responsible for Medicaid funded SED treatment and the CMHB works very closely with AMDD on SED needs and services across MT. AMDD has established strong working relationships with service providers organizations, including the Children and Family Services Division that manages foster care and child protection services; the DPHHS Public Health and Safety Division, that oversees all Chronic Disease, Tobacco Prevention and local public health services; the Health Resources Division that



oversees all healthcare and hospital / outpatient clinic Medicaid Services; as well as partner agencies outside of the DPHHS, which include the Behavioral Health Alliance of MT, a membership organization of all mental health centers, substance use disorder treatment providers, FQHC and hospitals implementing integrated behavioral health; the MT Primary Care Association; the MT Hospital Association; the MT Peer Network; the Behavioral Health Advisory Council; and the Board of Behavioral Health with the Department of Labor; and the Service Area Authorities (SAA) and Local Advisory Councils (LAC) that represent a consumer perspective on needs and gaps. AMDD also manages supported employment (IPS) contracts under the primary MHBG as well as the PATH grant to ensure individuals with SMI/SED have access to support services to live a quality life in the community. AMDD provides leadership and access to evidence-based and best practice resources, tools, and training/technical assistance for SMI/SED and crisis care services.

Additionally, AMDD also received has been very involved in state and local public health COVID discussions to identify behavioral health impact and/or needs through this existing relationship that have been enhanced due to COVID planning. By working collaboratively with all these partners organizations, AMDD will continue to assess the ongoing needs and identify how these funds are addressing the needs.

5. If your state plans to utilize any of the waiver provisions or the recommendations listed in this guidance, please explain how your state will implement them with these funds. (These waivers are only applicable to these COVID-19 Relief supplemental funds and not to the regular or FY 2021 MHBG funds. States will be required to provide documentation ensuring these funds are tracked separately.)

Montana is not requesting a waiver for any services.



6. Montana Coronavirus Response and Relief Supplemental Funding Budget Table 2


Supplement Funding Required* / Allowed Set- Aside

Mental Health Primary Prevention

$300,000

First Episode Psychosis $255,000 $253,116 * Other 24 Hour Care (Crisis) $849,604 $126,558 * Community Non-24 Care $1,000,000 Administration $126,558 $126,558 Total $2,531,162

Detailed Budget & Justification

Category Current

Budget

Proposed Re-

budgeted

Amount

*Non-Federal

Match (if

applicable)

Total COVID-19

Revised Budget

ADMINISTRATION

Personnel $26,749 N/A N/A $26,749

Fringe $11,066 N/A N/A $11,066

Supplies $600 N/A N/A $600

Equipment $0 N/A N/A $0

Travel $2,000 N/A N/A $2,000

Other $86,143 N/A N/A $86,143

ADMINISTRATION SUBTOTAL

$126,558

$126,558

DIRECT SERVICE

Prevention $300,000 N/A N/A $300,000

First Episode Psychosis

Prevention

Contractual

$255,000 N/A N/A $255,000

Crisis (Other 24-

Hour Care)

$849,604 N/A N/A $849,604

Community (Non-24 Hour)

$1,000,000 N/A N/A $1,000,000

DIRECT SERVICE

SUBTOTAL

$2,404,604

$2,404,604



GRAND TOTAL

(ADMIN & DIRECT SERVICE)

$2,531,162

$2,531,162

Administration Cost Justification

Personnel – Additional 0.5 FTE will be hired to administer the expansion of contract development and processing of invoices, federal fiscal reporting requirements for these contracts.

Fringe –Payroll taxes and fringe benefits are calculated at 17.63% of base salary and a lump sum of for health insurance. The taxes and fringe details include Medicare (1.45%); Social Security (6.20 %); Workers' Compensation (.76%); Retirement (8.87%); and Unemployment (0.25%).

Supplies – General office supplies are calculated at $50/month.

Equipment – N/A

Travel – Local site visits allows the program manager to visit the sub-contractors and ensure all needs and requirements are being met. Travel is estimated at 400 miles to 5 subcontractors. This includes mileage, per diem and lodging for up to 10 nights.

Other – Montana DPHHS is a public assistance agency because it administers programs like Medicaid, TANF, SNAP, and as such does not apply a single approved rate to grants or awards as a means of allocating indirect costs. There is a federal regulation [2 CFR 200. Appendix VI] that states all public assistance agencies will develop, document, and implement a public assistance cost allocation plan (PACAP).

Direct Service Cost Justification

Contractual Total Cost MHBG Funding

Category Project Description

Prevention

Implement mental health awareness campaign to promote awareness of FEP, mental health resiliency, suicide prevention. One contractor will be procured to develop and implement the campaign using social medica, earned media and other radio, television ads.

$ 200,000.00

Prevention

Provide training and technical assistance to providers on evidence-based screening tools for FEP, suicide risk, depression, other behavioral health disorders. A contractor will be procured with expertise in mental health screening. Trainings will be made available through onsite and virtual trainings.

$100,000

FEP

Expand FEP to cover Central and Western MT by procuring a mental health clinic that has the expertise and resources in treating SED and SMI populations. This will result in one contract that will be procured through the state bidding process.

$ 255,000.00



Crisis 24-Hour Care

These funds will be awarded through the state bidding process to 2-3 existing MT suicide prevention helplines. Funds may additionally be used to secure training and technical assistance to support fidelity to the Helpline model.

$ 849,604.00


Contract with MT counties through the state procurement system to provide support services to individuals with SMI who are transitioning from the jail/prison to the community. These funds will be provided to counties and tracked closely to ensure SMI population are being served under this project.

$ 500,000.00


Contract with identified mental health or community healthcare providers to hire Community Health Workers. The funds will cover the CHW salary / benefits, until a rate for these services can be established.

$ 250,000.00


Fund up to 3 PATH sites (combined with state funding). Sites selected will be procured through the state bidding process and will have experience with serving SMI populations and housing / social security disability insurance.

$ 250,000.00



State Information

Disclosure of Lobbying Activities

To View Standard Form LLL, Click the link below (This form is OPTIONAL)Standard Form LLL (click here)

Name

Bobbi Perkins

Title

Prevention Bureau Chief, MT DPHHS

Organization

Montana Dept of Public Health and Human Services -AMDD

Signature: Date:


Footnotes:

8-31-2020 Updates by Dana GearyDisclosure of Lobbying Activities signed by Bobbi Perkins (Attachment uploaded)8-31-2020 End Updates by Dana Geary











Planning Period Start Date: 10/1/2020 Planning Period End Date: 9/30/2021

Activity (See instructions for using Row 1.)

A. Substance

Abuse Block

Grant

B. Mental Health Block

Grant

C. Medicaid (Federal, State, and

Local)

D. Other Federal Funds

(e.g., ACF (TANF),

CDC, CMS (Medicare) SAMHSA,

etc.)

E. State Funds

F. Local Funds

(excluding local

Medicaid)

G. Other H. COVID-19 Relief Funds

(MHBG)a

1. Substance Abuse Prevention and

Treatment

a. Pregnant Women and Women

with Dependent Children

b. All Other

2. Primary Prevention

a. Substance Abuse Primary

Prevention

b. Mental Health Primary

Preventionb $592,000 $0 $0 $150,000 $0 $0 $0

3. Evidence-Based Practices for Early Serious Mental Illness including First Episode Psychosis (10 percent of total

award MHBG)c

$555,000 $0 $0 $0 $0 $0 $0

4. Tuberculosis Services

5. Early Intervention Services for HIV

6. State Hospital $1,685,019 $0 $0 $0 $0 $0

7. Other 24 Hour Care $923,046 $10,807,817 $2,000,000 $500,000 $0 $0 $0

8. Ambulatory/Community Non-24 Hour Care

$2,000,000 $40,604,992 $2,000,000 $500,000 $0 $0 $0

9. Administration (Excluding Program

and Provider Level)d $229,301 $0 $0 $0 $0 $0 $0

10. Crisis Services (5 percent set-aside)e $181,620 $0 $0 $0 $0 $0 $0

11. Total $0 $4,480,967 $53,097,828 $4,000,000 $1,150,000 $0 $0 $0

a The 24-month expenditure period for the COVID-19 Relief supplemental funding is March 15, 2021 – March 14, 2023, which is different from the expenditure period for the “standard” MHBG. Per the instructions, the standard MHBG expenditures captured in Columns A – G are for the state planned expenditure period of July 1, 2020 – June 30, 2021, for most states.

Planning Tables

Table 2 State Agency Planned ExpendituresStates must project how the SMHA will use available funds to provide authorized services for the planning period for state fiscal years 2020/2021.


b While the state may use state or other funding for these services, the MHBG funds must be directed toward adults with SMI or children with SED c Column 3B should include Early Serious Mental Illness programs funded through MHBG set aside d Per statute, Administrative expenditures cannot exceed 5% of the fiscal year award. e Row 10 should include Crisis Services programs funded through different funding sources, including the MHBG set aside. States may expend more than 5 percent of their MHBG allocation.


Footnotes: 8-18-2020 Updates by Dana GearyEmail by Kevin Forde regarding Reporting using FFY instead of SFY. Hello Dana, thank you for the question. I have checked with my colleagues and they suggested that you provide us a note explaining why you chose the time period that you decided to use.That said, for all the URS tables (which also means the MHBG tables; and also for CLD reporting), we generally have asked reporting entities to report on the 12 month period that they use for their in state reporting. We generally didn’t want to force states to use a different time period for MHBG reporting, if applicable. Therefore, the decision was to let states report based on the same time period that their internal reports will be based on. Most states track clients and expenditures based on the state FY (which for 46 states is July 1 to June 30th). But, the federal fiscal year has been allowed. Again, just explain why you used the reporting period you used. - End Forde email 8-18-2020End updates/email 8-18-2020 by Dana Geary

08-19-2020 Updates by Dana GearyDates for reporting FFY 2021. Justification for FFY reporting time period. AMDD plan our expenditures for our contracts on the FFY dates not SFY. Explanations of funds/activities:#2 Primary Prevention Column B $67,000 Warm Line and $225,000 for Voices of Hope and Help Line #3 FEP $300,000 Billings Clinic#7 Other 24 Hour Care $200,000 County Tribal Matching Grant (CTMG) to Rural Counties #8 Ambulatory /Community Non-24 Hour Care and $1,000,000 Supported Employment Contracts (5 @ $200,000 each)End updates 8-19-2020 by Dana Geary

8-27-2020 updated by Dana GearyTotal for Column B does not included the total from Table 6. 8-27-2020 end updates by Dana Geary

10-30-2020 updated by Dana GearyAs advised by earlier Project Officer Kent Forde back in August 2020 email. Kent stated we can use FFY for our planning dates which coincides with our sub-recipients contract terms. So data will remain with FFY dates of 10-1-2020 to 9-30-2021. 10-30-2020 End Revisions By Dana Geary


Planning Tables

Table 6 Non-Direct Services/System Development

MHBG Planning Period Start Date: 10/01/2020 MHBG Planning Period End Date: 09/30/2021

Activity FFY 2020 Block Grant FFY 2021 Block Grant FFY 2021 1 COVID Funds

1. Information Systems $20,000.00 $0.00 $0.00

2. Infrastructure Support $260,000.00 $115,000.00 $0.00

3. Partnerships, community outreach, and needs assessment $200,000.00 $119,000.00 $900,000.00

4. Planning Council Activities (MHBG required, SABG optional) $50,000.00 $5,000.00 $0.00

5. Quality Assurance and Improvement $100,000.00 $0.00 $400,000.00

6. Research and Evaluation $100,000.00 $0.00 $0.00

7. Training and Education $269,000.00 $66,500.00 $200,000.00

8. Total $999,000 $305,500 $1,500,000

1The 24-month expenditure period for the COVID-19 Relief Supplemental funding is March 15, 2021 – March 14, 2023, which is different from the expenditure period for the "standard" MHBG. Per the instructions, the standard MHBG expenditures are for the state planned expenditure period of July 1, 2020 - June 30, 2021, for most states. OMB No. 0930-0168 Approved: 04/19/2019 Expires: 04/30/2022

Footnotes: August 2020 updates by DG, PB, JM#3 & #7 split Nami Contract is split between (#3 $44,000 and #7 $44,000)#2 WICHE - PACT $100,000 #3 National Council Contract (suicide prevention and implementation) $75,000 #7 Supported Employment Conference $2,500 (Registration and Travel) #7 MT Psychiatric Conference $20.000 #2 Facilitators for SAAs $15,000#4 BHAC Travel $5,000End updates August 31, 2020 by Dana Geary (DG)


Please check those that are used in your state: 1. Crisis Prevention and Early Intervention

a) gfedcb Wellness Recovery Action Plan (WRAP) Crisis Planning

b) gfedcb Psychiatric Advance Directives

c) gfedcb Family Engagement

d) gfedcb Safety Planning

e) gfedcb Peer-Operated Warm Lines

f) gfedc Peer-Run Crisis Respite Programs

g) gfedcb Suicide Prevention

2. Crisis Intervention/Stabilization

a) gfedcb Assessment/Triage (Living Room Model)

b) gfedc Open Dialogue

c) gfedcb Crisis Residential/Respite

d) gfedcb Crisis Intervention Team/Law Enforcement

e) gfedcb Mobile Crisis Outreach

f) gfedcb Collaboration with Hospital Emergency Departments and Urgent Care Systems

3. Post Crisis Intervention/Support

a) gfedcb Peer Support/Peer Bridgers

b) gfedcb Follow-up Outreach and Support

c) gfedcb Family-to-Family Engagement

d) gfedcb Connection to care coordination and follow-up clinical care for individuals in crisis

e) gfedcb Follow-up crisis engagement with families and involved community members

Environmental Factors and Plan

15. Crisis Services - Required

Narrative Question In the on-going development of efforts to build an robust system of evidence-based care for persons diagnosed with SMI, SED and SUD and their families via a coordinated continuum of treatments, services and supports, growing attention is being paid across the country to how states and local communities identify and effectively respond to, prevent, manage and help individuals, families, and communities recover from M/SUD crises. SAMHSA has recently released a publication, Crisis Services Effectiveness, Cost Effectiveness and Funding Strategies that states

may find helpful.61 SAMHSA has taken a leadership role in deepening the understanding of what it means to be in crisis and how to respond to a crisis experienced by people with M/SUD conditions and their families. According to SAMHSA's publication, Practice Guidelines: Core

Elements for Responding to Mental Health Crises62,

"Adults, children, and older adults with an SMI or emotional disorder often lead lives characterized by recurrent, significant crises. These crises are not the inevitable consequences of mental disability, but rather represent the combined impact of a host of additional factors, including lack of access to essential services and supports, poverty, unstable housing, coexisting substance use, other health problems, discrimination, and victimization."

A crisis response system will have the capacity to prevent, recognize, respond, de-escalate, and follow-up from crises across a continuum, from crisis planning, to early stages of support and respite, to crisis stabilization and intervention, to post-crisis follow-up and support for the individual and their family. SAMHSA expects that states will build on the emerging and growing body of evidence for effective community-based crisis-prevention and response systems. Given the multi-system involvement of many individuals with M/SUD issues, the crisis system approach provides the infrastructure to improve care coordination and outcomes, manage costs, and better invest resources. The following are an array of services and supports used to address crisis response.

61http://store.samhsa.gov/product/Crisis-Services-Effective-Cost-Effectiveness-and-Funding-Strategies/SMA14-484862Practice Guidelines: Core Elements for Responding to Mental Health Crises. HHS Pub. No. SMA-09-4427. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2009. http://store.samhsa.gov/product/Core-Elements-for-Responding-to-Mental-Health-Crises/SMA09-4427


f) gfedc Recovery community coaches/peer recovery coaches

g) gfedcb Recovery community organization

4. Does the state have any activities related to this section that you would like to highlight?

The State of Montana has several of the critical components of a crisis system in place, including crisis call centers, mobile crisis response teams, and crisis stabilization facilities. Montana is currently utilizing grant funding to prepare for the rollout of 9-8-8 and to develop a plan for the implementation of a regional crisis receiving and stabilization facility.

Please indicate areas of technical assistance needed related to this section.

SAMHSA's National Guidelines for Behavioral Health Crisis Care is an excellent resource for understanding what an ideal system should be comprised of. While some of Montana's more urban hubs have the capacity to provide those services, much of the State is not in a position to have 24/7, in-person or on-scene crisis services. The State of Montana would benefit from technical assistance related to crisis response models that would function well in rural and frontier areas, and how those models could be funded through sustainable sources, including Medicaid.


Footnotes: 3/26/2021 - Submitted updated BH Crisis System Strategic Plan.

3/9/2021 Start: Made revisions to the required crisis services 5% proposal for the Mental Health Block Grant. Completed this with Mary Collins, Special Populations Section Supervisor.End: Jami Hansen


State of Montana—Behavioral Health Crisis System Strategic Plan

State Health Improvement Plan Alignment

SHIP Priority Area 1: Behavioral Health

Suicide Prevention Action Plan Alignment

Goal 3: Identify and allocate resources needed to guide state, tribal, county, and local efforts, including crisis response efforts.

Brief Description of Need: The crisis response system in Montana has several critical stakeholders including: Hospital systems, primary care providers, behavioral health providers, first responders, law enforcement, and justice systems. Montana’s behavioral health crisis response and stabilization services have historically been funded through an inefficient combination of state general fund, Medicaid, and local community dollars. Montana lacks sufficient crisis services, which results in a reliance upon expensive and inappropriate interventions, including law enforcement, jails, emergency rooms, and the Montana State Hospital. The system requires a complete overhaul to sustain funding for ongoing needs, foster local innovation, create equity between State general fund programs and Medicaid model, and ensure all programs are evidence-based and aligned with national best practices.

GOALS: 1. Create and maintain sustainable, evidence-based programs to support foundational crisis system infrastructure

as recommended by Crisis Now and SAMHSA’s National Guidelines for Behavioral Health Crisis Care. Crisis Line → Mobile Crisis Response → Crisis Stabilization Facility

2. Advance system innovation to support comprehensive community-based services that divert individuals from the Montana State Hospital, jails, and Emergency Departments by promoting the crisis services tenet of:

Anyone, Anywhere, Anytime

OBJECTIVES: 1. Implement restructured County and Tribal Matching Grant for SFY2022-2023. 2. Implement clear and consistent rules, policies, and procedures for all state general fund and Medicaid crisis

services in SFY2022. 3. Implement data collection and outcome monitoring processes in SFY 2021-2022.

SUMMARY OF CURRENT INITIATIVES 1. County and Tribal Matching Grants

a. Funding nine counties’ crisis systems: CIT, Community Coordinators, Mobile Crisis Response, Crisis

Facility Services, Detention Center Services, Data Initiatives

2. Mobile Crisis Unit Grants (House Bill 660 appropriated $500,000 for the Department to implement grants—MCA 53-21-1208-1210)

a. Funding Gallatin, Lewis and Clark and Missoula counties, each of which are implementing different

models of a mobile crisis unit. Of note, other grants, including CTMG, the SAMHSA COVID-19

Emergency Funding, and House Bill 118 funding, are supporting other mobile crisis units across the

state.

3. CTMG COVID Grants

a. Funding up to $40,000 to all eight tribal governments and all but four eligible counties for core

components of a crisis system along with the unique needs caused by COVID: Community

Coordination, Information Sharing, Increased Behavioral Health Capacity, Telehealth, Housing,

Training and PPE.

4. SAMHSA COVID-19 Emergency Funding

a. Funding nine CTMG counties and two tribal governments (two more TBD) to support direct services.

Most communities are choosing to supplement their crisis systems. AMDD has partnered with the

Montana Public Health Institute to provide technical assistance to grantees that will support the

effective use of multiple funding sources, increase local coordination and implementation capacity,

and data analysis of local crisis systems.

5. Learning Community


a. AMDD and the Montana Healthcare Foundation are hosting a series of monthly calls related to the

crisis system. The calls are available to anyone, provide targeted education, highlight communities in

Montana who have successfully implemented initiatives and programs, and offer opportunities for

stakeholders to engage across the state.

UPCOMING INITIATIVES—BY 7.1.2022 1. Restructure the County and Tribal Matching Grant.

Per MCA 53-21-1203, State matching fund grants for county and tribal government crisis intervention, jail diversion, precommitment, and short-term inpatient treatment costs. (1) As soon as possible after July 1 of each new biennium, from funds appropriated by the legislature for the purposes of this section, the department shall grant to each eligible county or federally recognized tribal government state matching funds for: (a) jail diversion and crisis intervention services to implement 53-21-1201 and 53-21-1202; (b) insurance coverage against catastrophic precommitment costs if a county insurance pool is established pursuant to 2-9-211; and (c) short-term inpatient treatment.

a. Create a menu of items foundational to a crisis system for communities to choose from to facilitate consistent system advancement and increase funding access to rural and frontier communities.

i. Category Examples: Capacity Building, Mobile Crisis, Criminal Justice Services, Infrastructure ii. Require EVB/best practices (Crisis Now, SAMHSA’s National Guidelines for Behavioral Health

Crisis Care), planning and partnerships prior to funding request, and accountability for previously unspent funds.

b. Allow for innovative local projects for communities that have already have core foundations of a crisis system (Example: Peer-run crisis respite).

c. Work with partners to ensure funding is not duplicative, certain activities are centralized, and communities are actively considering a regional approach to funding.

2. Restructure Administrative Rules of Montana (ARMs), Medicaid Manual, and Non-Medicaid Manual to support behavioral health crisis service implementation and sustainable funding in urban, rural, and frontier communities. Per MCA 53-21-1202, Crisis intervention programs -- rulemaking authority. (1) The department shall, subject to available appropriations for the purposes of this part, establish crisis intervention programs. The programs must be designed to provide 24-hour emergency admission and care of persons suffering from a mental disorder and requiring commitment in a temporary, safe environment in the community as an alternative to placement in jail.

a. Adjust ARMs to increase eligible providers and streamline licensing for crisis services. i. MCA currently requires “mental health facility” which is more broad than current ARMs. ii. Conduct targeted outreach to providers (hospitals, MHCs, FQHCs) to promote the development

of regional crisis stabilization facilities. iii. Adjust licensing to facilitate both crisis receiving and stabilization services in one location.

b. Through the implementation of an 1115 Medicaid Waiver and/or adjustments to the Medicaid Manual and State General Fund programs:

i. Incorporate service components that support comprehensive behavioral healthcare (SUD+MH+co-occurring) in all crisis programs.

ii. Adjust service components and reimbursement rates of inpatient crisis stabilization services for both Medicaid and non-Medicaid populations.

iii. Implement a 23-hour and 59-minute outpatient crisis receiving service and bundled reimbursement rate for both Medicaid and non-Medicaid populations.

iv. Implement a BH mobile crisis response bundled service for both Medicaid and non-Medicaid populations.

1 Consider and support models for rural and frontier communities (e.g. tele-response, community paramedicine, community health workers, etc.)


https://leg.mt.gov/bills/mca/title_0530/chapter_0210/part_0120/section_0010/0530-0210-0120-0010.html



v. Increase access to behavioral health services in ED settings through partnership with the Health Resources Division and the Montana Hospital Association.

c. Implement behavioral health treatment and transitionary programs for justice-involved populations via the Mental Health Services Plan, the Mental Health Block Grant, or an 1115 Waiver.

d. Coordinate with stakeholders, including the National Suicide Prevention Lifeline call centers, to prepare for implementation of 988 in July 2022.

i. Considerations: Mobile crisis team dispatch, real-time bed availability. e. Adjust the Goal 189 Program to better address how housing insecurity contributes to crises.

f. Continue to utilize state general fund for capacity building (e.g. resource mapping, community

coordinators, etc.) and infrastructure (e.g. bed board, crisis facilities, etc.)

3. Implement quality assurance and quality improvement standards. Per MCA 53-21-1204, Department to contract for detention beds. (4) Each contract must require the collection and reporting of fiscal and program data in the time and manner prescribed by the department to support program evaluation and measure progress on performance objectives. The department shall establish baseline data on emergency and court-ordered detention admissions to the state hospital from each county and analyze the effect of contracting under this section on state hospital admissions.

a. Expand upon and standardize data collected over all crisis programs. b. Monitor data collected to assess for redundancy, efficiency, and quality of care. c. Establish key performance and outcome metrics in all contracts and program requirements. d. Collect and monitor data related to BH EMS calls, BH ED visits, Crisis Calls, Medicaid, and State General

Fund programs to establish baselines and monitor trends and outcomes in crisis system utilization. e. Implement QI projects to identify opportunities for improvement. f. Identify and implement opportunities to incorporate Social Determinants of Health data collection

within crisis programs.

ANTICIPATED OUTCOME MEASURES: 1. Integrate crisis services within 988 system.

a. Number of 988 calls. b. Number of 911 calls. c. Number of warm hand-offs/active dispatches from 988 to mobile crisis response teams and crisis

receiving and stabilization facilities. 2. Increase availability of crisis services (mobile crisis, crisis facilities).

a. Number of mobile crisis response teams and crisis receiving and stabilization facilities. b. Number of individuals served by mobile crisis response teams and crisis receiving and stabilization

facilities. 3. Increase the utilization of Certified Behavioral Health Peer Support Specialists (CBHPSS) within crisis services.

a. Number of CBHPSS serving on mobile crisis response teams, in crisis receiving and stabilization facilities, and emergency departments.

4. Decrease utilization of first responders and emergency departments for behavioral health crisis services. a. Number of law enforcement and emergency medical services responses for behavioral health crises. b. Number of individuals accessing emergency department services due to behavioral health crises.

5. Decrease in admissions and readmissions to acute inpatient settings, including the Montana State Hospital, for short-term stays (less than 7 weeks).

a. Number of individuals admitted to an inpatient psychiatric setting for a short-term stay. b. Number of individuals returning to an inpatient psychiatric setting within a given time frame (e.g. 6

months, 1 year). 6. Increased alignment with local community’s behavioral health system goals.

a. Number of communities with access to services that meet needs identified in Resource Mapping (Sequential Intercept Mapping), Community Health Assessments, and Community Health Needs Assessments.

INTERNAL PROGRAMS AND RESOURCES PLANS TO COMMIT: 1.0 FTE Section Supervisor


3.0 FTE Program Officer 1.0 FTE AmeriCorps VISTA 0.25 FTE Clinical Program Managers

COLLABORATIVE PARTNERS:

• County and Tribal Matching Grant, Mobile Crisis Unit and SAMHSA Emergency Funding communities: Initial information gathering (data reporting, monthly calls)

• BHAM: Engagement on service requirements and rates

• Health Resources Division: Partnering on IBH in Emergency Departments and primary care settings

• Montana Healthcare Foundation: Strategic funding to maximize impact upon local crisis systems

• Behavioral Health Advisory Committee/Service Area Authorities/Local Advisory Councils: Consumer input

• Montana Public Health Institute: Targeted technical assistance to increase state and local capacity


Please consider the following items as a guide when preparing the description of the state's system: 1. How was the Council involved in the development and review of the state plan and report? Please attach supporting documentation

(meeting minutes, letters of support, etc.) using the upload option at the bottom of this page.

a) What mechanism does the state use to plan and implement substance misuse prevention, SUD treatment and recovery services?

The Behavioral Health Advisory Council (BHAC) meets quarterly. The meetings are virtual due to COVID-19 precautions. BHAC continues its effort to integrate Substance Use Disorder (SUD) into the focus of the council. Participates in review of requirements for the Block Grant Plan and approves the major components of the Plan before submission. An opportunity to provide public comment is incorporated into the Council’s standing agenda.

b) Has the Council successfully integrated substance misuse prevention and treatment or co-occurring disorder issues, concerns, and activities into its work?

nmlkji Yes nmlkj No

2. Is the membership representative of the service area population (e.g. ethnic, cultural, linguistic, rural, suburban, urban, older adults, families of young children)?

nmlkji Yes nmlkj No

3. Please describe the duties and responsibilities of the Council, including how it gathers meaningful input from people in recovery, families, and other important stakeholders, and how it has advocated for individuals with SMI or SED.

Although the focus of the MHOAC Council now BHAC has traditionally been Mental Health, SUD treatment and prevention issues are presented to this committee for discussion and planning. The BHAC mission is: We are partners in planning and oversight for a behavioral health system that effectively serves families and individuals throughout Montana.The Council’s vision is: We envision a collaborative public behavioral health system that promotes independence, self-determination, stability in families and recovery. The system will provide effective community-based treatment, and ability to participate in educational opportunities, meaningful work, satisfying family relationships, and personal friendships.The Council’s purpose is: The 1999 Legislature created this council to provide guidance and oversight to the DPHHS in the development and management of an effective public mental health system. While the statute indicates "mental health" the BHAC has agreed to incorporate SUD into scope of the mission and vision. The duties of the Council are to:• Review the Mental Health Block and Substance Abuse Grant Plan and to make recommendations to the DPHHS;• Serve as an advocate for adults with a SMI, children with a SED, co-occurring disorders, SUD, and other individuals with mental health and SUD; and• Monitor, review, and evaluate the allocation and adequacy of behavioral health services within the State.

Please indicate areas of technical assistance needed related to this section.


21. State Planning/Advisory Council and Input on the Mental Health/Substance Abuse Block Grant Application- Required for MHBG

Narrative Question Each state is required to establish and maintain a state Mental Health Planning/Advisory Council to carry out the statutory functions as described in 42 U.S. C. 300x-3 for adults with SMI and children with SED. To meet the needs of states that are integrating services supported by MHBG and SABG, SAMHSA is recommending that states expand their Mental Health Advisory Council to include substance misuse prevention, SUD treatment, and recovery representation, referred to here as an Advisory/Planning Council (PC).SAMHSA encourages states to expand their required Council's comprehensive approach by designing and implementing regularly scheduled collaborations with an existing substance misuse prevention, SUD treatment, and recovery advisory council to ensure that the council reviews issues and services for persons with, or at risk, for substance misuse and SUDs. To assist with implementing a PC, SAMHSA has created Best Practices for State Behavioral Health

Planning Councils: The Road to Planning Council Integration.69 Planning Councils are required by statute to review state plans and implementation reports; and submit any recommended modifications to the state. Planning councils monitor, review, and evaluate, not less than once each year, the allocation and adequacy of mental health services within the state. They also serve as an advocate for individuals with M/SUD problems. SAMHSA requests that any recommendations for modifications to the application or comments to the implementation report that were received from the Planning Council be submitted to SAMHSA, regardless of whether the state has accepted the recommendations. The documentation, preferably a letter signed by the Chair of the Planning Council, should state that the Planning Council reviewed the application and implementation report and should be transmitted as attachments by the state.

69https://www.samhsa.gov/sites/default/files/manual-planning-council-best-practices-2014.pdf


Additionally, please complete the Advisory Council Members and Advisory Council Composition by Member Type forms.70

70There are strict state Council membership guidelines. States must demonstrate: (1) the involvement of people in recovery and their family members; (2) the ratio of parents of children with SED to other Council members is sufficient to provide adequate representation of that constituency in deliberations on the Council; and (3) no less than 50 percent of the members of the Council are individuals who are not state employees or providers of mental health services.OMB No. 0930-0168 Approved: 04/19/2019 Expires: 04/30/2022

Footnotes: 8-31-2020 Updates by Dana GearyBHAC Meetings for 2019-2020 to date (Meeting Agenda & Meeting Minutes attached) BHAC Directory updates 08-10-2020 uploadedAugust 28, 2019November 14, 2019February 18, 2020 *May 14, 2020 (Cancelled Covid-19)August 18, 2020 (2 hour Virtual Meeting) - Only Agenda completed8-31-2020 Revisions Completed by Dana Geary


BEHAVORIAL HEALTH ADVISORY COUNCIL (BHAC)

AGENDA

8/28/19 Partners in planning for stable families and a recovery-based mental health system

Standing Department Reports Monitor, review, and evaluate the allocation and adequacy of mental health services within the State.

AGENDA ITEM PRESENTER Vote

Approve Minutes from Last Meeting

ByLaw Changes

Mission Changes

State Plan Improvement Working Group – Report

Toolkit Update

Legislative Update/Gubernatorial Candidates Invite

Andrea Lower Andrea Lower Andrea Lower Zook/Hajny Andrea Lower Andrea Lower

Block Grant Review the Mental Health Block Grant Plan and to make recommendations to the Department of Public Health and Human Services (DPHHS).

AGENDA ITEM PRESENTER

SAMHSA Site Visit Update

Application Process

Dana Geary Dana Geary

Working Agenda Serve as an advocate for adults with a serious mental illness, children with a serious emotional disturbance, co -occurring disorders, and other individuals with mental illnesses.

AGENDA ITEM PRESENTER

Community Input

Legislative Efforts

AMDD Updates

SAA Updates

Children’s Mental Health Bureau Update

Andrea Lower Bobbi Perkins SAA Chairs Meghan Peel

Next Meeting: November 14 (Currently SKYPE Meeting) Agenda Items: Transition Programs



BHAC meeting minutes

Wednesday Aug. 28, 2019

Great Northern Hotel, Helena MT.

These minutes are from the session after lunch. Block Grant, presenter Dana Geary, Block Grant

Program Officer (AMDD).

Members in attendance from the BHAC Council are for this session:

Sydney Blair, Debra Bond, Jim Hajny, Donna Zook, & Melinda Smith.

Others in attendance: Bobbi Perkins, Bureau Chief (AMDD), Jami Hanson, Program Manager (AMDD) &

Betty Franklin Medicaid Waiver & State Plan Program Manager (AMDD), and Gin Kraus, Workforce

Assistant (AMDD). Jennifer P. member of the public, & sorry did not get all the agencies she was

presenting, Governor’s Challenge and Suicide Prevention?

Dana went through the Planning Tables 1-5 for the Mental Health Block Grant.

Keep Priority #1-4 the same. Priority #5, to update.

Covered by Medicaid. Increase Life Line 300,000 now.

Increase the in-state calls 90%.

#1 keep the same no changes.

#2 Discussions:

Jim H. ask how long the program has been running. Answers were not for sure but a very long time.

The Billings Clinic runs the program. He would also like to see data throughout the year. Jami will get

that data. (she manages the Grant). Goal is the expand the communities. Sharing data would be

good.

Butte, Billings and Missoula are the 3 locations. Donna Z. Homeless doesn’t speak to this as an

objective. Jami said each location does have the data, for the Path Grant. Melinda would like to see

more on Homeless. Jim, issues with the abilities to use transport in these locations.18 and above in

age. Based on the persons interest and abilities. Sydney, public transportation, user friendly. Jami,

transportation barriers. Jim, skills need to be learned to use bus services if available, by Peer

supports. Case managers to help organize this with the Peer supports.

#3 Discussion:

The 3 programs are in Gallatin, Missoula and Yellowstone. Supported employment target areas.

Bobbi, Donna B., Jami and Dana, public transportation, share the data, focus groups in the

community, build on employment, and build resources with the Grants. Sydney, Great Falls has a

Vocational rehab. Program. Bobbi’s vision is to expand to more communities. Mix these programs,

SOR, housing, employment, Peer support. Jami track the outcomes, where they are at. Donna Z.

would like to include Vets. Bobbi to follow up on TBI organic (?)/external.


Minutes from BHAC meeting 8/28/2019

#4 Discussion:

NAMI Conference in Butte on Oct. 16, 17 & 18 2019. Donna Z. ask if that was an increase over the

75-100 scholarships request each year. Clarification no 75-100 scholarships requests funded each

year. Sydney B. what education programs and build on data and share data.

#5 Discussion:

Donna Z. ask to clarify the % of current in-state calls and follow up calls. Bobbi discussed that there

is also roll over calls to other states. The new goal would increase to no less than 90%. Jim, asked

about call backs, when do they call back and do, they give referrals? Bobbi was going to contact

Karl from Lifeline to get an update and to see if he would attend a meeting. Some Federal

movement about creating a new #. Donna Z. would like to know how it works and having Karl

come to discuss and present. Sydney to get corrections. Not funded anymore # 201? Connect

system has the referrals. In limited communities, HIPPA how does work for sharing information.

Betty, they need to share resources, and HIPPA should not be an issue, if not sharing personal

information. Bobbi explained how the application for the Mental Health Block Grant, needs to be

completed by Aug. 30th, 2019. When this Grant is up and need to put in application again, needs

to be sent to the council to look at and review before due date.

Other discussion how the groups minutes taken, Councils name changed in June, and adding Vets

and their families. Address the group to look at the members each year. Council to meet with the

representatives of all groups. Clean up the By-laws. Clarifying the Duties of the Council. Other

ideas the Council creating a “Link” one page of all the Grants. Getting feedback. Update the

Mission Statement and By-laws. Some hang ups on the name change to have included

“Behavioral”. Open the lines of communications and what does that look like, and what can be

done to improve. Communication’s is lacking within the group. Bridge the gap, start at the grass

roots. Other questions: does the council have a Secretary to take minutes? Is the Vice Chair Andy?

How do these meetings get paid for and by who? Bobbi thought the States General Fund. Council

to see funding, and put in a proposal to see how many meetings per year, in person and on Skype?

Partnerships between the groups. Update the membership list and to keep in updated. Need to

have back-ups, if you can’t attend, you need to have someone fill in for you. How does the group

get these meeting out to the public? Post on the AMDD website and calendar. Who sends out the

emails of the meeting dates, AMDD or the Councils President? The group would like to have more

in-person meetings. Are you really getting feedback from the consumers? Ask why the members

are not attending? Some thought was because the meeting dates are changed. Retaining the

membership. Roles: who roles are what and clear up the roles. Budget? Dana said she would get

the update. BHAC to take back the power from AMDD. Research the role of AMDD at these

meetings., check with Zoe and Bobbi to get clarification. In the past who took the minutes? What is

the intent of this council? AMDD completes the travel forms for the reimbursement of the council

members.


Minutes from BHAC meeting: 8/28/2019

Late afternoon session:

Council members who came back to the meeting were: Bill H., Claire L. and Andrea L. AMDD who

are no longer in attendance are: Bobbi P., Jami H. and Betty F.

Discussions on By-laws update. Andrea to make a friendly amendment to the By-laws. Behavioral

Health will be changed to all. The Chemical Dependency language will be looked at.

Mission statement attach A:

Table the discussion and put on agenda for next meeting to working on it. Donna Z. ask why was

OUTSITE taking out of the Mission statement? Make a Draft and sent out update for next meeting.

In the future, meetings need to set up time at the beginning to discuss the house keeping items.

At one time meeting were 2 day or 1 and half days, this was about seven years ago. Seemed like

more was accomplished. Expenses (Budget), travel, Hotel stay and food. But networking very

important.

Bill H. discussed at the Site meeting, the Program manager at AMDD. Said they should contract

out a person to keep up and run the council’s meetings information. Budget bout $50,000 a year

for their salary. Funding this position by the Grant. Contact the other States to see how they do

this.

The meeting dates should be set out a year in advance. Set in stone.

Next meeting date Nov. 14th, 2019.

Andrea, draft an invite the sub-committee Children w/families to attend a meeting.

You can get application to apply to join the Council on line.

Jennifer P. Suicide Prevention email address JenniferP@centermh#4.org

Suicide call ins, connecting services. United Way still using #211 but a new #988 has been added

Nationally. Again, discussed Karl coming to a meeting to help understand some of the issues with

the call ins, etc. Lots of the calls from Montana going out of State. Two of the centers in Montana

are: Help Center in Bozeman and Voices of Hope in Great Falls.

The group discussed about inviting the Governor candidates to attend a Spring meeting in 2020.

Good media coverage gets their views on these important issues.

Andrea email council members to see what sub-committee you want to be on.

The next meeting set for Nov. 14th, 2019, see if it will be a one day or two-day meeting?

Meeting adjourned


mailto:JenniferP@centermh#4.org

Behavioral Health Advisory Council (BHAC) - (Formerly MHOAC)

MEETING AGENDA (9 am to 4:30 pm) Council Purpose: Review the Mental Health and Substance Abuse Block Grant Plans and make recommendations Serve as an advocate for adults with a serious mental illness, children with a serious emotional

disturbance, and other individuals with mental illness Monitor, review, and evaluate, not less than once a year, the allocation and adequacy of mental health

services within the State. Thursday, November 14, 2019: 9:00 Welcome – Introductions Review/Approve Minutes August 2019 9:15 SAA Updates (CSAA-Crystal Evans, WSAA- Claire Leonard, ESAA-Brent Morris)

9:30 AMDD (Prevention Bureau-Bobbi Perkins) Update Children’s Mental Health Bureau Update 10:15 Break 10:30 Sub-Committee break-out (Someone from the sub-group needs to take notes) 😊

Executive Committee (Part of this includes; Development, and Block Grant Committees)

Advocacy Committees o Crisis – Sub-Committee o Transition Sub-Committee o Justice/Forensic Sub-Committee

11:45 Community Input/Public Comment 12:00 Lunch Break 😊 (Chili O’Brien’s – Thank you for all the work you do!) 😊 1:00 Karl Rosston Presentation – Montana Suicide Prevention presentation 2:15 Break 2:30 Gubernatorial Candidate Forum update 3:00 Tool Kit work group update 3:30 2020 BHAC Meeting Dates/Planning Calendar 4:00 Community Input/Public Comment 4:30 Next Meeting - Adjourn

NOTE: Jami Hansen and Curtis Smeby will co-instruct Mental Health First Aid~Adult on Friday,

November 15th, 2019, at the Wingate Hotel from 8:30 am to 5 pm. If BHAC members want to attend this meeting, AMDD will cover the cost of the hotel for Thursday night 11/14/19. Register by emailing [email protected] your name, contact information and agency affiliation (if any) by November 8th.😊! Take Care!


mailto:[email protected]

Behavioral Health Advisory Council (BHAC)- (Formerly MHOAC) November 14, 2019 - Meeting Minutes

(Wingate Hotel, Helena, MT)

DATES for Next BHAC 2020 MEETINGS:

February 13, 2020

May 14, 2020

August 18th, 2020 (DNRC room was not available on August 20th)

November 12, 2020

Members in attendance: Curtis Smeby, Jim Hajny, Donna Zook, Bill Hodges, Bruce Brensdal, Andrea

Lower, Mackenzie Petersen, Melinda Holom, Connie Winner, Stephanie Turner, Andy Hunthausen, Matt

Furlong, Bobbi Perkins, Dana Geary, Jami Hansen.

On Phone: Clair Leonard, Deb Bond, Brent Morris, Sydney Blair, Mary Windecker, Lawrence Rhone.

Introductions: Meeting begins at 9:00 am

Andrea opens with a welcome and everyone introduces themselves.

Andrea: Has everyone had the chance to go through the minutes from Aug 2019 meeting? Any Questions?

No Questions. Motion to approve / Bruce Brensdal/Motion and Bill Hodges/Seconds. Minutes are approved. (Dana will remove "draft" and post as approved).

Dana: (Discussion about how to fill out Travel vouchers.) Please just fill out the top with your information and I will fill out millage. (Those vouchers were handed out and returned to Dana).

Updates with AMDD/Children Mental Health Bureau:

Meghan Peel could not attend meeting today for CMHB updates.

MacKenzie shares updates on Medicaid Expansion-Please see attached for Expansion updates.

MacKenzie gives updates on County Tribal Matching Grant (CTMG) and Mobil Crisis RFP

CTMG:

Closes on 12-3-2019

Goal is to divert from State Hospital

4 million over biennium Mobile Crisis RFP:

Connected to HB 660

Closes 12-3-2019

$500,000 over biennium


Both CTMG and the Mobile Crisis RFP will be executed on Jan 1, 2020.

MacKenzie: We also have a new hire her name is Marry Collins, she is taking over for Jean, who retired.

Mary will be traveling around the state to visit different centers to get a feel for what is going on. She is doing the 72-hour applications, 14 day and Goal 189.

We will also be working on a Drop-in center RFP. Hopefully have by early next year.

As of 10-1-2019 there were two new Bundles introduces for MAT Services.

On 7-1-2019- Peer and IOP as new Medicaid services. We offered an in-person training on the

implementation of peer services to leadership of organizations either providing or interested in

providing peer services.

We also offered Recovery Oriented Cognitive Therapy in July. This is through the Beck Institute.

QUESTION & ANSWER

Jim: Has this been approved? (Jim, do you remember your question? Mackenzie: Do you provide these

to the team? I don’t have a context for the questions, so it is hard to answer them.

Mackenzie: Yes.

MHAC updates: Medicaid: continue to enact all provider notices related to COVID including suspension of utilization review requirements and expansion of telehealth for our Medicaid programs. AMDD/Medicaid leadership is continuing to gather feedback on the changes to assess potential of keeping on some of the changes past the date of the emergency declaration.

New services as of 7.1:

I would refer individuals to our Medicaid manual on the AMDD website. We have made several changes to Medicaid as of 7.1 including an expansion of the HCBS Waiver, expansion of PACT program, creation of MACT program and some changes to group home.

New services as of 10.1 New service: Transcranial Magnetic Stimulation (TMS) is a noninvasive procedure for treatment-resistant depression that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. The use of this treatment will be an alternative when medication trials are not working and/or the side effects of medication is intolerable for the member.

Provider Relief General Fund allocation: U.S. Department of Health and Human Services (HHS) has extended the deadline to apply for payment from the Provider Relief Fund General Allocation until August 28, 2020. HHS is allocating $15 billion to providers who participate in Medicaid and the Children’s Health Insurance Program and have not received a payment from the Provider Relief Fund. As of July 10, less than 2% of the Medicaid/CHIP providers who the Centers for Medicare and Medicaid Services (CMS) anticipates are eligible for Provider Relief Fund payments have submitted applications through the portal in most states. We encourage providers to apply even if you are uncertain whether you are eligible. Provide link to the provider notice so it's in the notes. https://medicaidprovider.mt.gov/Portals/68/docs/providernotices/2020PN/provnoticeproviderrelieffundgenallocation08112020.pdf


https://medicaidprovider.mt.gov/Portals/68/docs/providernotices/2020PN/provnoticeproviderrelieffundgenallocation08112020.pdf

https://medicaidprovider.mt.gov/Portals/68/docs/providernotices/2020PN/provnoticeproviderrelieffundgenallocation08112020.pdf

Bi-monthly provider phone calls led by AMDD and Medicaid leadership

Jim: It was brought to my attention that some providers are not getting paid.

MacKenzie: Please send me a list of names and I will check into it.

Bill: Will we get a follow up report on how this money is spent?

Mackenzie: Yes, we will try and do our best.

Jim: This data report really falls under the counsel's responsibility. If we had someone to take the

burden off AMDD and do the research and then do the reporting back to us on the funding. If you're on

the committee, we could take this on and keep up with this information instead of Mackenzie doing it.

Matt: Is everyone using this? (CTMG) Some are not using their award.

Mackenzie: Yes, everyone is using their grants. Perhaps not all of it. But they are using it.

Matt: Could their LAC get involved and help them spend the money?

Mackenzie: Yes, this is what we would recommend. Get involved now and help. The Spenddown is only

for awarded.

Matt: Who would we contact?

Mackenzie: Reach out to your county commissioner or you can contact us.

Update with Bobbi on the AMDD Prevention Bureau

Bobbi: PFS/SAMSA Approved: Focuses on families with youth and helping to get early intervention on

substance use in collaboration with the Connect program.

Connect is a referral program. It connects things like Medical Providers with Mental Health, Psychology,

housing, and any other part that may be played in assisting a client. The provider can go into this system

(without sharing a lot of private info) and make a referral, making a connection for the client and seeing

if that referral was followed through with, thus closing that gap.

We built this into the PFS and about 30 counties are working on promoting connect. But we find that

there is some push back. It is a heavy lift. We found that Yellowstone county says that what they have

works for them. But if we could get the SAAs and LACs to partner with connect in helping promote it, we

could get all local providers on board.

There is a membership fee. This is just getting off the ground though, so we can provide more

information as it comes. Hoping to really have the ball rolling through the state by years end.

QUESTION & ANSWER

Stephanie: Connect has been in Helena Public Schools for a while now. I believe since 2006 maybe. It is

very user friendly and was accepted. But it takes a lot of push to make change. But it is very nice, so

providers can see the closing of the loop. It makes it more of a warm hand off.


Jim: Can county write in fee from CTMG?

Bobbi: That is a great idea!

Jim: This can be expensive for a small county. Something like $50-100 Membership fee? But if we could

have it added into our expense report for grant moneys. Or even if it could be subsidized for signup,

then perhaps more providers would get on board once they started to use it and then would be willing

to pay fee.

Dana: So, if there are more questions or suggestions like this you can send them to me. Connect is

coming down the pipe. I will put together a list of your questions and then Bobbi can send me more info

on connect. We are working on getting word out and strategies on how to make this work. So, you can

send to me and we can work on it. (No emails were sent to Dana. Dana could arrange Kara Hughes,

DPHHS - Connect Coordinator to come and give a presentation to BHAC – at Feb. 13th Meeting).

Sydney (phone): Is there any reported data showing the follow through with this program.

Steph: They can pull and individualized report. You can contact Megan Grotzke.

Bobbi: Oh, I'm not sure she is still doing that.

Matt: L&C has a person who can pull reports. Her name is Julie Bird.

More conversation on how to give incentive to start this program and how to get the data. It was

suggested that perhaps Megan could come and discuss the difference between what Yellowstone is

doing and what connect has to offer. Committee members are excited to get this out there and can see

how it will help in many areas. Want to get involved.

Service Area Authorities (SAA) Updates:

Clair (phone): WSAA REPORT:

They had issues with getting on site. Technology not great.

Strategic plans are being worked on.

Individual reports= SAA don’t act on them after given

Travel is a huge problem for most. Spending 8 hours on road not working. - LAC may resign as not possible to travel that far.

Bill SUGGESTS: (Billings Clinic Eastern)- they get hooked up to TeleMed. They are connected to 9-11

providers. This is discussed a bit about meeting at a hospital to get connected with TeleMed or

something of this nature. Suggestions of meeting at colleges in area as well to use communication

systems.

Matt Furlong for Central (CSAA Report):

Develop plan for SAA and LAC for MT Peer network - needing place to meet

Put out a survey to LAC and trying to get data on that.

Collaboration with strategic heath plan so that we feel valued and are being a help to them.

Approved mini grant L&C County resources o Nov. 22 from 10-3 next meeting


o Dec 13 from 10-1 next Summit

Mary Windecker – Health Information Exchange quick update.

Public Comment:

Matt Furlong: SAAs get more funds from $25,000 a year to possibly get more to distribute to LACs (CSAA

is covering 15 LACs in various counties). ESAA gets $35,000 a year and WSAA gets $25,000 a year for

funding (?). Use funds to get membership support for SAAs, use summits for rebuilding and that contract

will be discussed at the 12-13-2019 Summit Meeting.

Jim Hajny: Transportation is a barrier for folks to get to their appointments. Need more financial

support for Peer Support and Groups (Medicaid did not fund 1:1 Peer Support until 7-1-201 and Groups

were not Medicaid Funded until 10-1-2019). Hopefully funding for Peer Support will increase over time.

Family First Prevention Act – CPS and children are in crisis mode and it will end 12/2020 or 2021 and

Evidence-Based programs need to work with families in crisis and have options for clients to selection

from.

BREAK OUT SESSIONS

Sub-Committee break-outs (Stay together as group) – Went through Membership and Ex-Officio, BHAC

Membership and AMDD Staff will be separated on list. Removing outdated names: Patricia Fandrich,

Tiffani Pimley, Frank PoDonik, and Stacey Wheeler)

Executive Committee (Part of this includes; Development, and Block Grant Committees)

o Jennifer Fauque – Due to lack of attendance in meetings this past year. Motion to

remove from BHAC Board. Jim 1st motion, Melinda Holom 2nd. Motion passed. Andrea

will notify Jennifer.

o Approved New Members: Mary Windecker and Lawrence Rhone (1st Motion Bill and 2nd

Andy – Motion passed).

o Need for BHAC Group to review BHAC By-Laws so can be approved by next meeting.

(Stigma language remains) Handouts to assist with correcting (Handouts: Executive

Office of the President January 8, 2017 Memo and SAMHSA The Surgeon General’s

Report on Alcohol, Drugs, and Health: Preferred Terms and Definition) to help guide

while referring By-Laws.

Advocacy Committees (Meet by phone at least once before our next In-Person BHAC meeting on

o Crisis – Sub-Committee (Jim, Bill, Melinda Holom, Debra, Claire, Lawrence, and Matt) o Transition Sub-Committee (No one) o Justice/Forensic Sub-Committee (Donna, Sydney, Andy, and Andrea)

Karl Rosston presents on Suicide in Montana

Suicide in Montana (Facts, Figures, and Formulas for Prevention)-Handout

Suicide Prevention in Montana – brochure

Suicide Prevention Lifeline business cards handed out


Presentation Power point: Suicide in Montana (include in email minutes)

BREAK: Next Session begins at 2:35 pm

Andrea points out that while the Tool Kit has good detailed information in it, it is very lengthy and

outdated. It needs to be updated. Dana will check into this and make updates.

Andy Hunthausen will resume as chair now until end of meeting

There is discussion over the agenda and how it should be ordered. Would like to hear from all the

committee members and if they can not make it, to send notes that can be added to minutes.

Discussion continues regarding where the public comment time should go and how often it should

occur. There are suggestions of having motion and action listed on the agenda page so that it can be

marked off as the meeting moves along. Discussion continues about where to have bylaws and when

and how long to have presentations for others.

Dana will be writing up next meeting's agenda – more standardized Agenda as to format.

Gubernatorial Candidate forum update

Discussion on having all the candidates meet and have a time of Q&A. As thoughts are tossed out, it is

decided that the committee members will make a list of 5 to 6 questions that will be sent to each

candidate. Then if the candidates can respond to questions via video, then all members will be able to

see response. After this takes place, the committee would then like to have a public forum with the

final two candidates. They questioned weather or not the committee could even do this or not. Dana

said that she would check with Bobbi on the legality of it and then have Zoe call the candidates with the

questions. To which Jim responded that AMDD did not need to check that and they could check in the

by-laws. Curtis pulled up the bylaws and found out the committee was good to move forward with their

questions.

Some of the topics for questions to ask legislature could be of if they support these issues and how:

Red Flag Law – Support / Sponsor it

Zero Suicide Prevention Plan Support

Opioid Crisis Response- SUD- (Do they attend those strategic meetings)

Continued Support for Medicaid Expansion

Mental Health and Behavioral Health Providers Pay

Transportation and Housing (Do they have any tasks forces working on issue)

Address Behavioral Health and Mental Health Resources (especially rural and frontier areas of

Montana)

State Hospital Funding

o Discharge planning of patients – how are community-based services and referral being

made prior to discharge, who is involved in discharge planning)

Shortage of need at MSH-Montana State Hospital – Staffing issues, funds etc…

Questions should be generalized to see what candidates know and don’t know, and where they really

stand on things. Committee members will continue to stay in touch with each other and come up with

specific questions they want to ask within these topics. Committee also discussed getting legislative

member/political member to sit on the board with them.


After June 2, 2020 – Maybe invite the (2) candidates to come and answer questions at the

August 20th meeting or host a night between June and our August meeting for question and

answer session.

The final conversation was about training that can be offered. Such as QPR, ASSIST, AWARE,

ALERTNESS…and others.

Dana will be wrapping up things and will include notes combined with Amanda Pagels (today’s note taker)

Jim will follow up with Crisis Sub Committee

Donna the same for Justice Sub Committee

Andy will get a couple of names of legislature for Dana to discuss with AMDD/DPHHS Director

Andy wraps up meeting: Plan on meeting again December 13th

MEETING ADJOURNED. 3:34 pm


Behavioral Health Advisory Council - (BHAC) AGENDA (Formerly MHOAC)

Feb. 13th, 2020 - DNRC Building, Helena, MT / Montana Room – 1st Floor Conference Room from 9 am to 3:30 pm

9:00 INTRODUCTIONS:

Welcome Guests & Members

Review & Approve Minutes: November 14, 2019 9:30 UPDATES: Service Area Authorities (SAA) – (10 Minutes Each)

CSAA - Crystal Evans, Chair

WSAA – Stacy Wheeler, Chair (Representative at BHAC Meetings) Claire Leonard

ESAA - Brent Morris, Chair

10:00 UPDATES: AMDD and CMHB

Bobbi Perkins - AMDD Prevention Bureau / Notes by Dana Geary

Mary Collins - AMDD Treatment Bureau Updates

Meghan Peel - Children’s Mental Health Bureau

10:30 BREAK 😊 10:45 UPDATES:

BHAC Standing Sub-Committees: Executive Committee:

o BHAC Orientation Manual - Dana Geary Advocacy Committees:

o Crisis – Sub-Committee – Jim Hajny, Lead o Justice/Forensic Sub-Committee – Donna Zook, Lead

11:45 OTHER UPDATES:

o Matt Furlong: Independent Evaluation of the Substance Abuse Prevention & Treatment Block Grant Program - Final Eval Report

o Jim Hajny: Final Report TAC Report – Improving Montana’s Mental Health System – Final Report

12:00 Lunch Provided by AMDD 😊

12:45 OLD BUSINESS:

BHAC “By-Laws 2008” – last updated in 2006

BHAC MISSION update? (Group Discussion)

BHAC VISION update? (Group Discussion)

2:00 BREAK 😊 2:15 NEW BUSINESS: BHAC New Applications – Brief Introductions

Matt Furlong (Vote Today’s Meeting)

Amanda Walton / Gayla Taylor / Jason McNees / Jessica Clark / Todd Tecca / Virginia Carnes 2:45 COMMUNITY INPUT/PUBLIC COMMENT: 3:00 BHAC MEMBERS ONLY: Discussions on membership applications 3:30 MEETING ADJOURN: Next Meeting – May 14th, 2020


BHAC Meeting Minutes – February 14th, 2020

BHAC Meeting Minutes

February 13th, 2020 (DNRC Building 1st Floor Conference Room, Helena, MT) 9:00 am to 3:30 pm

Introduction discussion regarding travel and hotel stay. Talk about lunch and restrooms. A few other

formalities before we get started.

THOSE IN ATTENDANCE: Andrea Lower-Chair, Andy Hunthausen-Vice Chair, Sydney Blair, Debra Bond,

Rebecca de Camara, Matt Furlong, Jim Hanjy, Melinda Holom, Claire Leonard, Meghan Peel, Donna

Zook, Bobbi Perkins, Dana Geary, Jami Hansen, Mary Collins, and Amanda Pagels

On the phone: Lawrence Rhone, Courtney Rudbach and Bruce Brensdal

GUEST IN ATTENDANCE: Virginia (Ginny) Carnes, Jason McNees, Todd Tecca, Amanda Walton, Alisha

Mehdi, Robin James and Mary Collins

Introductions are given. Review and approval of the November 2020 BHAC meeting minutes. Sydney makes a motion to pass. Jim-to second. Motion carried.

UPDATES- SERVICE AREA AUTHORITIES (SAA)

Matt Furlong:

SAA spending a lot of time with AMDD and what mini grants are going to look like. Spent time in

work groups.

Talked about meeting and how they would like them to run.

Talked about grants and updating the website and making it easier.

Also talked about changing the logo.

Hoping to meet for longer time for strategic planning and updating forms.

Claire Leonard:

Resigned from Western Service Area Authority (WSAA).

Talked about not feeling like she belonged to an effective group. Time to travel without having

productive meetings.

Lawrence Rhone (ESAA) Eastern Service Area Authority: Update via (PHONE)

going to put a plan in place to recruit inactive counties with LAC (Local Area Authorities).

Plan in place- remaining counties 12 out of 26.

Goal to engage the other counties for participation.

Andrea Lower, BHAC Chair:

Can you share the different info about LAC across the State in an email after the meeting? Jami

Hansen will do this.

Lawrence Rhone via phone:

Called into Crisis Line:



Sent to two other states and they were going to call back.

Took map off AMDD website and looked to see which counties were active.

Looked at SAA websites. No real structure to have a solid communication for Mental Health

activities and resources.

He called hotline and was able to get a hold of Director -Jackie Benter (?) She ID said they were

responsible for 10 counties and Bozeman responsible for 13.

Jim Hajny:

Suggested rules for SAA mini grants should be the same rules for all Service Area Authorities (SAA).

Matt Furlong:

Rules are based on their own areas-but one set of rules would probably work best.

Not brought up were legislative rules which came out of the Mayer's Challenge and Tyler Steinbach-

WSAA

Handle with care Bill-MT code with multidisciplinary schools

Transpiration with dignity

Peer support

Jim Hajny:

Stated that SAA are being split into five regions and not feeling valued. (Currently SAA’s cover 3

regions but this maybe restructured in the future). Dana Geary & Jami Hansen.

Claire Leonard:

4 years ago, (2015 or 2016) BHAC wrote to AMDD about getting split into five counties/regions.

That letter was never addressed.

Collaboration between the LAC and SAA would be best and a little TA on how we can work

better with technology.

If we think that the SAA has value than we need to work with them more.

Things at summit need to be more toward the SAA as well.

Travel is issue and not a value for us.

Matt Furlong:

Your concerns are being heard and there are many of us looking into this.

There are (3) SAA’s each having their own by-laws and contracts through AMDD.

Jami Hansen with AMDD and SAA’s are addressing how SAA’s can better work together.

The 5 regions are efforts to have a more coherent group was and suggestion.

We do see that it is broken, and we are trying. He is confident in Jami and AMDD on helping to

get these areas addressed.

Jami Hansen AMDD:

Jami gets all the LAC meeting minutes and discusses those.

Working with hospital transportation and other partners in areas.

Jami has an open-door policy for anyone regarding SAAs and LACs.



Jami is trying to attend as many SAA meetings in-person as she can fit into her schedule.

AMDD cannot do everything but Jami and SAAs are working to have better communication.

Jim Hajny:

How do we support SAAs plans and measures?

There is a disconnect and we did not know that you were working on this.

How do we help support you?

We are have having a difficult time getting contact with all the LAC.

It seems like this conversation seems to be happening repeatedly with nothing getting resolved

for better communication.


Would it be helpful to have the minutes sent out? Minutes will be sent to Executive Board to preview

minutes before sending them out to BHAC members for comments or any corrections.

Jami Hansen AMDD:

Pondering what it would look like to separate some of the SAA Regions.

This is a good opportunity where the LAC and SAA could get help from the BHAC Executive

Board.

Conversations continue about LAC and SAA meeting times and getting these groups on the same page as

well as communicating well with the AMDD. Members are wanting to get things done and want the (3)

SAA Regions to be on the same page. Jami is willing to go to these individual meetings however they

meet at the same time and Jami cannot attend both. There is discussion on how they can make this

work. Some difficulties in changing times is that there is a time slot for the Telemid Systems and

therefore time may not be able to change. A suggestion is that the SAA Regions create time at the

beginning of meeting in one are and end of meeting in another area to accommodate Jami Hansen’s

schedule.

Claire Leonard:

Motions the BHAC Chair draft a letter to suggest for the (3) SAA Regions get their times

accommodated for Jami Hansen she can attend these meetings.

Jim Hajny:

I second it.


All in favor on drafting a letter to AMDD suggesting for the 3 SAA Regions to adjust meeting times to

accommodate Jami Hansen and ability to attend.

SIDE NOTE- BHAC Council can ONLY recommend changes.

Motion is for us to make recommendation - MOTION CARRIED.



AMDD UPDATES:

Mary Collins AMDD:

Understand there is more interest of the Crisis Programs.

Targeted phone calls to counties can apply.

County tribal Grant- awarded to 9 counties.

Mobile Crisis- awarded to 1 County.

Wanting to bring in more people, TA and guests to communicate with the community.

Trying to get feedback from grantees and how we can support them.

Trying to have more of a big role in the community and how to serve them.

Trying to shed some light on the Crisis Systems and how people can get help and how important

it is to set up.

Two suggestions:

More funding for Technical Assistance (TA).

Communication with Bill sponsor for language to be less restrictive.

Health Care foundation would support Mobile Crisis.

Conversation on getting TA out to some of the smaller communities and how we get the monies

that is still available out to these communities.

Jim Hajny:

Jim was on the committee with 56 counties only 11 applicants for the funds. There was almost a

million dollars left over. People in smaller counties need assistance with grant writing. We need to

have TA to be able to tap into the money that is available.

Claire Leonard:

When we plan something, whom ever it may be, we ought to work in concert. One should not plan a

Crisis System when we have a Crisis System on the back that is not being used. There is a lack of

communication on these sub-committees. We need to communicate.

Where does the $900,000 go?

Mary Collins AMDD:

I cannot speak about where the left-over funds will go at this time.

Claire Leonard:

AMDD needs to be held accountable to where the left-over funds are distributed and how. We need

to know so we can do our due diligence as the BHAC Advisory Council.

Conversation continues and heats up. Mary's hands are tied in giving more information now, this comes

from her superiors. BHAC Executive Board and members are very passionate about knowing where the

money is going. Bobbi Perkins, AMDD Prevention Bureau Chief steps in to see if Zoe Barnard, AMDD

Administrator can give more information. The board needs more information on these funds and

transparency.



Jim Hajny:

Motion on recommendation to state that we know how much money is remaining and be reissued

for the county and tribal matching grant. (Bobbi Perkins answers this motion after break).

Melinda Holom:

Second - MOTION CARRIED

10 Min BREAK

CONTINUE UPDATES

Bobbi Perkins, AMDD:

Bobbi had a chance to talk with Zoe Barnard on the Crisis Programs that Mary Collins gave a

briefing on earlier – Summary of that conversation:

The employees here at AMDD are really trying to work through things.

Zoe Barnard the Tribal and County matching grant are going to go through another ISP and

that information will be being released soon.

Montana Health Care Foundation may have some funding available soon.

BHAC Meeting are important to AMDD and Zoe who would be present today, however, she

other meetings she had to attend that conflicted with the BHAC meeting.

Bobbi Perkins: FROM PREVENTION SIDE: Another round of Opioid funding. Last time not

competitive. But don’t know if it will or will not be at this time. Open award to the Stimulants side of

things.

Bobbi Perkins: UNDER MENTAL HEALTH BLOCK GRANT: More funding will go towards the Suicide

Hotline. They were getting $150,000 and now we can use the Matching Grant and double that, so

now they can fund it $300,000.

Jim Hajny:

It was great to have Karl Rosston present and give updates on how the Suicide Hotline funds are

being used when he was at the last BHAC Meeting in February.

This is how BHAC meetings should go, a request is made and then we meet that need.


Filling members in on AMDD-

CTR training that has been going on for past 2 years.

Another round of Behavioral Health Provider Training.

Melissa Higgins, AMDD Treatment Bureau Chief might be able to bridge the gap in

communication with-in the transition.

BHAC Board would like to have more information and be in the loop to encourage others in these

programs.

Bobbi Perkins, AMDD (PREVENTION):

Communities that Care.

Collective impact-specific to youth: How they can reduce substance use.



$5,000 Behavioral Health work group for SHIP-State Health Improvement Plan.

Facilitators to move next level on how to move forward with 5-year strategic plan.

Find funding for PAX Good Behavior Game: $2 million and Opioid Grant-School trainings.

TRIBAL: $1,500 to learn about substance abuse in their communities.

We would love feed back on these trainings and how we can use these dollars.

Matt Furlong:

Link is broken between community health workers. Perhaps we could pay for Train-the-Trainer on

Peer Support.


Maybe we could bring a group together to get more training and funding (TA training)?

GROUP MEMBERS VOLUNTEER:

Matt Furlong, Jim Hajny, Dana Geary, Bobbi Perkins, and Lawrence Rhone.

Andy Hunthausen, BHAC Vice Chair:

Suggestion to share: MAT- Medically Assisted Treatment.

Dana Geary to schedule a meeting with Andy Hunthausen and MAT before next meeting.

Meghan Peel – Children’s Mental Health Bureau (CMHB):

Hand Out: DPHHS January 16, 2020 (Summary of Key Changes to Targeted Case Management for Youth

with SED) posted on CMHB website.

Speaking about CASII tool.

$200 for 6 hours and this is opened to anyone.

Second big change is that we wanted to encourage family engagement.

Added Targeted Case Management (TCM) meets with the family and goes through a check

list before meeting (treatment team).

Helping the family to have a goal and be prepared.

Looking to increase the Targeted Case Management (TCM) services.

We are thinking $15.90 per 15-minute unit. For frontier areas a different payment amount.

Talking about the 10 counties that would have this increase and then the ones that are the other

counties rates would increase to $18. 28 per 15-minute unit.

This is just a request at this point and would not be effective until March 1st, 2020.

The mental health centers would not have to comply until September 1st, 2020.

The next big thing is in Home Services.

It took a big hit, but CMBH is collaborating with stake holders and added folks to our workforce

beginning in March and have a proposal by July 1st, 2020 completed.



BHAC STANDING-SUB COMMITTEES: (Sub-Committees need to have LEADS by Committee Members)

EXECUTIVE COMMITTEE: (Part of this includes; Development, and Block Grant Committees)

LEAD: Andrea Lower, Andy Hunthausen, Dana Geary, Jami Hansen and Bobbi Perkins:

Table of Contents from old BHAC (MHOAC) Orientation manual from 2013: Looking at updating

to be the BHAC Orientation Manual. Need to update but Dana Geary needs assistance from

BHAC members on a workgroup.

Work Group VOLUNTEERS: Andrea Lower, Deborah Zook, Amanda Walton (Dana will

schedule a time for them to have an in-person or Skype meeting in late March or April).

NOTE / Jim Hajny: Would like to have the updated BHAC Orientation Manual on a thumb

drive and any other parts not needed-added to a thumb drive verses printing. (Members can

have either option – printed and/or thumb drive when manual is completed and approved

by council).

From November 2019 BHAC Meeting ADVOCACY COMMITTEES: Meet by phone at least once before our next In-Person BHAC meeting then give updates (email sub-committee notes and/or progress to Andrea Lower and Dana Geary)

o Crisis – Sub-Committee: LEAD: Jim Hajny, Bill Hodges, Melinda Holom, Debra Bond, Claire Leonard, Lawrence Rhone, and Matt Furlong

o Transition Sub-Committee: No one volunteered o Justice/Forensic Sub-Committee: LEAD: Donna Zook, Sydney Blair, Andy Hunthausen,

and Andrea Lower

ADVOCACY COMMITTEES:

TRANSITION Sub-Committee: No one volunteered to be on this sub-committee or be LEAD from

November 2019 BHAC Meeting.

VOLUNTEERS today: Meghan Peel, CMHB and Dana Geary, but need a LEAD from BHAC

member. (???)

Dana Geary will ask Melissa Higgins, AMDD Tx Bureau Chief for another person from her

team to be involved with this if possible.

JUSTICE/FORENSIC Sub-Committee: LEAD – Deborah Zook

Did not meet, no updates. New member added to group – Ginny Carnes.

CRISIS Sub-Committee: LEAD Jim Hajny

Highlights- identifying some of the needs: Communication gaps and need

improvements. Gaps with in systems: the 1-800# not working all that great.

Trying to figure out how much money we spend on things: i.e. 14-day treatment beds.

How do we come up with one statewide comprehensive plan?

Board agrees to meet with AMDD staff (including Mary Collins) to bring together a

comprehensive plan within budget.

Conversation about getting the county health departments involved in this process.

They can help us accomplish goals and communicate with legislative processes.

Bobbi Pekins: Please add this as a place holder for next agenda to have a county health

department member come and speak with us about how to collaborate.



LUNCH Provided by AMDD from DIVE Bakery 😊

OTHER UPDATES:

Hand out that will be sent out w/Meeting Minutes: “Trauma informed Care Resource Guide- CPI”

Matt Furlong (Gave quick update on guide)

There is a theme that comes up in Traumatic event-sometimes helpful and other times pushes

people back the other way.

Hand out is good – gives lots of great info.

Youth in hospital and while there at the ED there were 3 other kids in the ED with suicide

issues waiting to be seen. In the hand out there is a lot of information on how to work with

Trauma. First response and second response. We also need to remember that as people that

work with Trauma, we need to remember to take care of ourselves, so we are not the ones

who end up in the crisis.

Learn to speak to the level of person with crisis - handout gives good language for that.

Dana Geary, AMDD:

The LAC Tool Kit needs updating-looking for work group volunteers.

VOLUNTEERS- LEAD: Jami Hansen, Dana Geary, Matt Furlong, and Claire Leonard.

MONTANA MENTAL HEALTH SYSTEM:

Jim Hajny:

This is an older report and gets used many times.

This report talks about MHAOC (63 times). It explains the roles and responsibilities within the

relationship between LAC and SAA and how it should flow.

Examples: In the front: Strategic planning is explained how things should be delivered.

As a council we need to revisit this and follow its language. This can be a reminder of how we

should be getting together and communicating.

We need to get back together and use this to incorporate this. Perhaps if we make a

recommendation and it falls through the crack, we can have some sort of accountability.

NOTEL Jim’s email on Feb. 10th to: Andrea Lower, Bill Hodges, Lawrence Rhone, Deb Bond, Claire

Leonard, Dana Geary, Andy Hunthausen and Jami Hansen (Final Report TAC Report.pdf) noted

pages: Page 15: Planning, Page 68: Recommendations, Page 83: State Advisory Process, Page 93:

BHAC and AMDD, Page 102: Grievance Complaints etc., Page 108: Youth and Page 126: Regional

Structures.

Jami Hansen can help Jim Hajny with page 93 (MHOAC “BHAC” and AMDD) and Page 126

Regional Structures



Jim Hajny: Asking questions directly to Mary Caferro, Legislature.

Would it be helpful for you to know this information and know what we are trying to do and what

we want to use funding for?

Mary Caferro, Legislature:

The (AMDD) Department is not the only player.

People need to take responsibility and they need to get engaged.

You need to get involved with your legislatures and engage with the majority.

Andrea Lower, BHAC Chari:

We can make recommendation as we prioritize for each session

If the language doesn't match, then re-draft the language within the statue.

Dana Geary, AMDD:

BHAC Meeting Minutes: Need input from BHAC member on meeting minutes: Sent out November

2019 minutes in December and no one responded, need follow-up in minutes – not being address

but minutes being passed. These meeting minutes get uploaded and report to SAMHSA as part of

accountability. No Comments from members.


BHAC Advisory Council: Underscore the intent and goal: so, these things get channel up to the

appropriate people.

Conversation moves to how the name is being presented. MHOAC is in statute and so there is

conversation about looking into how to use the name BHAC instead. The question is proposed if we

need to contact our lawyer to see how we might go about using the new name. (It would have to be

changed in Statue to “officially” change the name. We will still call it BHAC).

UPDATE THE BHAC BYLAWS:

These need to be updated. August draft is the most current.

Has the stigma been removed?

Andrea Lower, Chair BHAC:

We should just let By-Laws be approved with the updates from August and then at every annual

meeting we can update the other small things as we go.

Jim Hajny:

We need to pass the By-Laws Revision and we need to approve the latest version.

Discussion on the Bylaws and the one that should be approved and then update them as we

meet. Dana Geary will accept the By-Laws changes emailed to her.



NEW BUSINESS

Jim Hajny:

Motion to vote for Matt Furlong as new BHAC member.

Many other members second.

MOTION PASSED

This is a four-year membership term. Congrats Matt!

NEW MEMBER APPLICATIONS:

NEW APPLICANT: Virginia “Ginny” Carnes: LAC, Board of Directors, wanting to train in assist on

other groups. Important that both entities go two ways. History: got into trouble with law a lot due

to mental illness. She would like to focus on the BHAC Judicial/Forensic Sub-committee as this is

close to her heart. She also believes that transition is important as well.

Dana- How long LAC in GF?

Ginny: Off and on but quite a while.

NEW APPLICANT: Jason McNees: Certified Behavioral Peer Support Specialist at Helena Indian

Alliance Leo Pothca Clinic,

Trained to do Narcan in Medicaid Assisted Treatment (MAT). He would advocate for these types

of modalities.

Peer Supporter of the year.

Personal story he has had opioid addiction and depression and is recovery for 6 years. He would

like to work more with the legislation sessions and to have a voice in helping these things.

Would like to be a voice with BHAC because he feels that this is the best place to make a

difference.

NEW APPLICANT: Todd Tecca: Certified Peer Support Specialist for Center for Mental Health.

Deals with bipolar and alcoholism. Sober for 6 year. Gives a unique perspective on how to deal

with individuals. Everyone is not always on the same page, he would like to help connect the

dots.

NEW APPLICANT: Amanda Walton: Interest is very personal-Consumer and Family member

(Glendive)

Trying to get some things going in her area but they need to know the resources. This would be

an opportunity to be a voice to represent the voiceless.

Motion: Andy Hunthausen: Motion to move on having Mary Caferro (legislature) on the board as

well.

Mary Caferro, Legislature did not fill out application, but members wanted her on board. She gave a

verbal history of herself and how she might help the board. There was conversation about application

needing to fill out and going through the same channels as everyone else. In the end it was concluded

that those who applied, written or verbal would be accepted as new members and those who did not

show up physically would have to reapply.

Sydney Blair: Second Motion / All in favor: Everyone.



TALKING ON AGENDA:

Public comment: Would like this done before lunch.

Jim Hajny: We talked about this before

Andrea Lower: Medically Assisted Treatment: public comment.

UPDATES: Bobbi Perkins, AMDD:

Discussion on MAT:

Helena Indian Alliance is a star.

Mixed of federally qualified health centers.

Served 800 people to date.

Less than 22 providers who had their waiver to prescribe Buprenorphine or Naltrexone.

(Medication to help stay sober) Now we have over 150 providers.

MT Care Associations. Now can implement the program.

Hospital can't bill for Behavioral Health

Put out RFP-but hospital did not take because they were getting funding from other areas.

Looking at how we can entice them with in the Emergency Departments to implement MAT.

OPIOID GRANT

Naloxone reverses the effects of over dose.

We like to have a NARCAN Master Trainers who can train others in other community areas.

Conversation regarding having training within DOC.

Jim Hajny - Motion to adjourn

Sydney Blair- Second

02-14-2020 BHAC Meeting Adjourn 3:18 pm


Behavioral Health Advisory Council - (BHAC) AGENDA (Formerly MHOAC)

August 18th, 2020 – Virtual TEAMS Meeting from 11:00 am to 1:00 pm

11:00 INTRODUCTIONS:

Welcome Guests & Members

Virtual Meeting today explain “TEAMS App” to Group by Dana Geary NOTE: Sign in “Chat Box” your Name & Title for our digital signature

page 11:20 NEW BUSINESS:

Jami Hansen: Mental Health Block Grant (MHBG) Plan updates and SAMHSA Link:

https://www.samhsa.gov/grants/block-grants/mhbg Want to assist with the MHBG and/or SABG Work Group for discussing

grant priorities for next year’s SAMHSA Block Grant application please email Jami Hansen [email protected] and Dana Geary [email protected]

Lawrence Rhone, SAA: Service Area Authorities (SAA) - Restructuring

Andrea Lower: New BHAC Membership Applications: Cheryl Cohen and Lauren Kropf – applied to become BHAC members Guest Introduction Request: Dennis Nyland, Montana Mental Health

Ombudsman and Rena Steyaert, Executive Director of the Mental Disabilities Board of Visitors

11:50 AMDD UPDATES:

Mary Collins, Treatment Bureau County Matching and Mobile Crisis

MacKenzie Petersen, Treatment Bureau Covid-Medicaid

Bobbi Perkins, Prevention Bureau Updates on COVID-19 Funds

SAMHSA Funding: Covid-19 w/Help Center, Warm Line, Voices of Hope

Emergency Covid Grant Funds - FEMA Crisis Counseling Committee Natural Disaster help with 211 Program

MHA Preparedness/Registry Liaison-Tribes 12:30 OLD BUSINESS:

By-Laws, Vote on New BHAC Members, and BHAC Standing Sub-Committees at the next BHAC meeting November 12th, 2020.

Executive Committee: Andrea Lower, BHAC Chair and Dana Geary, Leads Advocacy Committees:

o Crisis Sub-Committee – Jim Hajny, Lead o Justice/Forensic Sub-Committee – Donna Zook, Lead

12:40 COMMUNITY INPUT/PUBLIC COMMENTS 1:00 VIRTUAL MEETING ADJOURN: Next BHAC Meeting – November 12th, 2020


https://www.samhsa.gov/grants/block-grants/mhbg



Page 1 of 5 Updated: August 31, 2020

BHAC (Behavioral Health Advisory Council) Directory – Updated 8-10-2020

Andrea R. Lower, Chair 1709 W. College Bozeman, MT 59715

Ph 1: 406 582-3704 (office) Ph 2: 406 209-1370 (office cell) Email: [email protected]

Representing: CSAA/Families of Individuals in Recovery Term Expires: June 30, 2021

Andy Hunthausen, Vice Chair Commissioner Lewis and Clark County, MT 316 North Park Avenue Helena, MT 59623

Ph 1: 406-447-8303 Ph 2: 406-461-2922 Email: [email protected]

Representing: Advocate Term Expires: June 30, 2022

Sydney Blair 915 1st Avenue South Great Falls, MT 59401

Ph 1: 406-791-9603 Email: [email protected]

Representing: Family Member Term Expires: June 30, 2021

Debra Bond 161 Moonridge Whitefish, MT 59937


Representing: Family Member Term Expires: June 30, 2021

Crystal Evans Box 2255 Browning, MT 59417

Ph 1: 406-338-5558 Ph 2: 406-949-0196 (cell) Email: [email protected]

Representing: CSAA Term Expires:

Jim Hajny 109 East Lewis St Livingston, MT 59047


Representing: Consumer Term Expires: July 31, 2022

Bill Hodges 809 North Custer Avenue Hardin, MT 59034

Ph 1: 406- 665-8723 Ph 2: 406 665-5539 Email: [email protected] Email: [email protected]

Representing: ESAA/Mental Health Advocates Term Expires: June 30, 2022












Melinda Holom PO Box 188 Townsend, MT 59644


Representing: Consumer, Family, Advocate, Native Americans Term Expires: May 31, 2022

Claire Leonard Box 238 Virginia City, MT 59755


Representing: Family Term Expires: May 31, 2022

Brent Morris Lift; 1201 Grand Ave #1 Billings, MT 59102

Ph 1: 406-690-3365 (cell) Ph 2: 406-294-5189 Email: [email protected]

Representing: ESAA Term Expires: June 30, 2022

Mary Caferro, Legislative Rep. HHS/HCSD TANF Steering Comm. Helena, MT 59601


Representing: Legislative Representative Term Expires: Feb. 2024

Melinda Smith 5230 Lower Martin Road Florence, MT 59833


Representing: Mental Health Centers Term Expires: June 30, 2021

Mary Windecker PO Box 7635 Missoula, MT 59807


Representing: BHAM, Chair/CEO Term Expires:

Donna Zook 1601 2nd Avenue North, Suite 620 Great Falls, MT 59401


Representing: Families of Individuals In Recovery Term Expires: June 30, 2021

Lawrence B.G. Rhone Federally Accredited Veteran’s

Advocate NEMT 102 East Third Avenue, Box 985 Scobey, MT 59263


Representing: North East Montana Veterans Coalition/Consumer Term Expires:












Courtney Rudbach 375 Grandview Drive Kalispell, MT 59901


Representing: WSAA/Provider Term Expires:

Matt Furlong 3885 Kim Drive Helena, MT 59602


Representing: Family of Consumer / CSAA Term Expires: Feb 2024

Virginia “Ginny” Carnes 1406 – 4th Avenue North Great Falls, MT 59401


Representing: Consumer / Lived Experience Term Expires: Feb 2024

Jason McNees 501 Euclid Avenue Helena, MT 59601


Representing: Consumer / Lived Experience Term Expires: Feb 2024

Todd Tecca 3604 Rainbow Drive Helena, MT 59602


Representing: Family of Consumer / SAA Term Expires: Feb 2024

Amanda Walton 223 Glenwood Avenue Glendive, MT 59330


Representing: Family of Consumer / SAA Term Expires: Feb 2024









Ex-Officio’s Zoe Barnard (ex-officio) Administrator Addictive & Mental Disorders Div PO Box 202905 Helena, MT 59620-2905


Representing: Mental Health - Adult Term Expires: N/A

Cheryl Cohen, Dept of Commerce-BOH 301 South Park Avenue PO Box 200545, Helena, MT 59620


Representing: State Employee (Housing) Term Expires: Feb 2024

Rebecca De Camara (ex-officio) Administrator Developmental Services Division 111 North Sanders, Room 307 Helena, MT 59601


Representing: Social Services Term Expires: N/A

Melissa Higgins (ex-officio) Community Mental Health Supervisor Addictive & Mental Disorders Div. PO Box 202905 Helena, MT 59620


Representing: State Employee/Mental Health - Adult Term Expires: N/A

Meghan Peel (ex-officio) Children’s Mental Health Bureau 111 North Sanders – Room 307 Helena, MT 59602


Representing: Children’s Mental Health

Bureau Term Expires: N/A

Connie Winner (ex-officio) Dept of Corrections 5 South Last Chance Gulch Helena, MT 59601


Representing: DOC / Criminal Justice Term Expires: N/A









AMDD Staff

Bobbi Perkins, (AMDD) Prevention Bureau Chief Addictive & Mental Disorders Div. PO Box 202905 Helena, MT 59620



Dana Geary (AMDD) Block Grant Project Officer Addictive & Mental Disorders Div. PO Box 202905 Helena, MT 59620



Jami Hansen (AMDD) Program Officer Addictive & Mental Disorders Div. PO Box 202905 Helena, MT 59620



Cindy Dallas (Note Taker) AMDD PO Box 202905 Helena, MT 59620







Start Year: 2020 End Year: 2021


Advisory Council MembersFor the Mental Health Block Grant, there are specific agency representation requirements for the State representatives. States MUST identify the individuals who are representing these state agencies.

State Education AgencyState Vocational Rehabilitation AgencyState Criminal Justice AgencyState Housing AgencyState Social Services AgencyState Health (MH) Agency.

Name Type of Membership* Agency or Organization Represented

Address,Phone, and Fax

Email(if available)

Zoe Barnard State EmployeesPO Box 202905 Helena MT, 59620 PH: 406-444-7044

[email protected]

Kristie Black

Individuals in Recovery (to include adults with SMI who are receiving, or have received, mental health services)

1309 East Broadway - A203 Missoula MT, 59802 PH: 406-607-7917

[email protected]

Sydney Blair Parents of children with SED/SUD

915 1st Avenue South Great Falls MT, 59401 PH: 406-791-9603

[email protected]

Debra Bond Parents of children with SED/SUD

161 Moonridge Whitefish MT, 59937 PH: 406-283-1823

[email protected]

Mary CaferroOthers (Advocates who are not State employees or providers)

HHS Helena MT, 59601 PH: 406-461-2384

[email protected]

Virginia Carnes


1406 - 4th Avenue North Great Falls MT, 59401 PH: 406-564-3432

[email protected]

Jessica Clark


3110 1/2 Grant Street Missoula MT, 59801 PH: 406-220-3839

[email protected]

Cheryl Cohen State Employees

Dept of Commerce Housing BOH Division Helena MT, 59620 PH: 406-841-2826

[email protected]

Mary Collins State EmployeesPO Box 202905 Helena MT, 59620 PH: 406-444-9635

[email protected]

Cindy Dallas State EmployeesPO Box 202905 Helena MT, 59620 PH: 406-444-3907

[email protected]


Rebecca De Camara

State Employees

111 North Sanders - Room 307 Helena MT, 59601 PH: 406-444-6951

[email protected]

Crystal EvansRepresentatives from Federally Recognized Tribes

Box 2255 Browning MT, 59417 PH: 406-338-5558

[email protected]

Matt Furlong Parents of children with SED/SUD3885 Kim Drive Helena MT, 59602 PH: 406-202-0544

[email protected]

Dana Geary State EmployeesPO Box 202905 Helena MT, 59620 PH: 406-444-9657

[email protected]

Jim Hajny


109 East Lewis Street Livingston MT, 59047 PH: 406-551-1058

[email protected]

Jami Hansen State EmployeesPO Box 202905 Helena MT, 59620 PH: 406-444-3055

[email protected]

Melissa Higgins State Employees

DPHHS-Addictive and Mental Disorders Division Helena MT, 59620 PH: 406-444-9344

[email protected]

Bill HodgesOthers (Advocates who are not State employees or providers)

809 North Custer Avenue Hardin MT, 59034 PH: 406-665-8723

[email protected]

Melinda HolomFamily Members of Individuals in Recovery (to include family members of adults with SMI)

PO Box 188 Townsend MT, 59644 PH: 406-521-0624

[email protected]

Andy Hunthausen

Others (Advocates who are not State employees or providers)

316 North Park Avenue Helena MT, 59623 PH: 406-447-8303

[email protected]

Lenette Kosovich Providers

1231 North 29th Street Billings MT, 59101 PH: 406-248-3175

[email protected]

Claire Leonard


Box 238 Virginia City MT, 59755 PH: 575-519-8806

[email protected]

Andrea LowerOthers (Advocates who are not State employees or providers)

1709 West College Bozeman MT, 59715 PH: 406-582-3704

[email protected]

Lucas McCoy


316 Broadway Street. Apt. 2 Townsend MT, 59644 PH: 406-521-0624

[email protected]


Jason McNees


501 Euclid Avenue Helena MT, 59601 PH: 406-490-3041

[email protected]

Brent MorrisOthers (Advocates who are not State employees or providers)

LIFT - 1201 Grand Avenue - 1 Billings MT, 59102 PH: 406-690-3365

[email protected]

Gretchen Neal


323 West Alder Missoula MT, 59802 PH: 406-258-4390

[email protected]

Gretchen Neal


323 West Alder Missoula MT, 59802 PH: 406-258-4390

[email protected]

Meghan Peel State Employees

111 North Sanders - Room 307 Helena MT, 59602 PH: 406-444-1290

[email protected]

Bobbi Perkins State Employees

DPHHS - Addictive and Mental Disorders Division Helena MT, 59620 PH: 406-444-6981

[email protected]

Lawrence RhonaOthers (Advocates who are not State employees or providers)

102 East Third Avenue Scobey MT, 59263 PH: 406-229-3555

[email protected]

Courtney Rudbach

Others (Advocates who are not State employees or providers)

375 Grandview Drive Kalispell MT, 59901 PH: 406-250-0471

[email protected]

Lindsay RumphFamily Members of Individuals in Recovery (to include family members of adults with SMI)

1909 Margaret Street - Apt. 3 Missoula MT, 59801 PH: 406-498-1126

[email protected]

Melinda Smith Providers

5230 Lower Martin Road Florence MT, 59833 PH: 406-532-9700

[email protected]

Todd Tecca


3604 Rainbow Drive Helena MT, 59602 PH: 406-202-2289

[email protected]

Amanda Walton Parents of children with SED/SUD

223 Glenwood Avenue Glendive MT, 59330 PH: 406-591-3551

[email protected]

Mary Windecker ProvidersBHAM - CEO Missoula MT, 59807 PH: 406-546-4793

[email protected]

Connie Winner State Employees

5 South Last Chance Gulch Helena MT, 59601 PH: 406-444-6580

[email protected]


Donna ZookFamily Members of Individuals in Recovery (to include family members of adults with SMI)

1601 - 2nd Avenue North - Suite 620 Great Falls MT, 59401 PH: 406-453-5638

[email protected]

*Council members should be listed only once by type of membership and Agency/organization represented. OMB No. 0930-0168 Approved: 04/19/2019 Expires: 04/30/2022

Footnotes: 03-04-2021 updates by Dana GearyUpdated the BHAC Membership Type and also reached out to Holly Mook, Education Agency and Chanda Hermanson, Vocational Rehabilitation Agency if they would be willing to join and represent their respective state agencies. Attachment uploaded: BHAC Directory Updated 3-4-2021End Updates by Dana Geary

8-11-2020 Start Revision:Removed Bruce Brensdahl Dept. of Commerce, retired June 30, 2020, added Cheryl Cohen as his replacement. Removed Patricia Fanflich,, Removed Jennifer Fauque, Removed Carolyn Pease-Lopez, Tiffani Pimley, Frank PoDobnik, and Stacey Wheeler8-11-2020 End Revisions by Dana Geary

8-11-2020 Updates by Dana GearyState Education Agency: Vacant but reaching out this year to the Office of Public (OPI) for this year (Holly Mook, Coordinate School Health Director)State Vocational Rehabilitation Agency: Vacant but reaching out this year to Chanda Hermanson, Acting Bureau Chief for Vocational Rebab)State Criminal Justice Agency: Connie WinnerState Housing Agency: Cheryl CohenState Social Services Agency: Rebecca De CamaraState Health (MH) Agency: Bobbi Perkins and Children MH: Meghan Peel 8-11-2020 Update Ended by Dana Geary

11-5-2020 Updates by Dana GearyUnable to go into Agency Representatives to update - box does not allow information to be typed in under a specific persons name. I did list the most current information I have for these positions in Footnotes mentioned above and no new updates to report. Sent Lizette Del Canto-SAMHSA this email on 11-5-2020 at 9:44 am below: Dear Lizette,Reference your request for the MHBG Agency Representatives for the revision by 11-6-2020. I am unable to type anything in those boxes per individual - it doesn't allow anything to be typed in, but this is what I put down in the "footnotes" at the time it was completed and I have no updates to this. What would you like me to do? The current agency representatives are mentioned in the footnotes in the Environmental Factors and Plan - Advisory Council Members already. 11-05-2020 End Updates by Dana Geary

11-18-2020 Updates by Dana GearyBHAC Members who have children with SED/SUD - Amanda Watson, Melinda Holom, Debra Bond, and Matt Furlong. Changes made by Dana Geary on 11-18-2020.11-18-2020 End Revisions by Dana Geary


Page 1 of 5 Updated: March 4, 2021

BHAC Members updated 03-04-2021 by Dana Geary

Andrea R. Lower, Chair 1709 W. College Bozeman, MT 59715

Ph 1: 406 582-3704 (office) Ph 2: 406 209-1370 (office cell) Email: [email protected]

Representing: Others (Advocates who are not State employees or providers) and Families of Individuals in Recovery Term Expires: June 30, 2021

Andy Hunthausen, Vice Chair 316 North Park Avenue Helena, MT 59623


Representing: Others (Advocates who are not State employees or providers) Commissioner L & C County/Local Government Term Expires: June 30, 2022

Sydney Blair 915 - 1st Avenue South Great Falls, MT 59401


Representing: Parents of children with SED/SUD and Provider Term Expires: June 30, 2021

Debra Bond 161 Moonridge Whitefish, MT 59937


Representing: Parents of children with SED/SUD and Others (Advocates who are not State employees or providers) Term Expires: June 30, 2021

Crystal Evans Box 2255 Browning, MT 59417

Ph 1: 406-338-5558 Ph 2: 406-949-0196 (cell) Email: [email protected]

Representing: Representatives from Federally Recognized Tribes and Individuals in Recovery (CSAA, Chair) Term Expires:

Jim Hajny 109 East Lewis St Livingston, MT 59047


Representing: Individuals in Recovery Term Expires: July 31, 2022

Bill Hodges 809 North Custer Avenue Hardin, MT 59034

Ph 1: 406- 665-8723 Ph 2: 406 665-5539 Email: [email protected] Email: [email protected]

Representing: Others (Advocates who are not State employees or providers) ESAA/Mental Health Advocates Term Expires: June 30, 2022











BHAC Members updated 03-04-2021 by Dana Geary Melinda Holom PO Box 188 Townsend, MT 59644


Representing: Family Members of Individuals in Recovery and Individual in Recovery Term Expires: May 31, 2022

Claire Leonard Box 238 Virginia City, MT 59755


Representing: Individual in Recovery and Family Members of Individuals in Recovery Term Expires: May 31, 2022

Brent Morris Lift; 1201 Grand Ave #1 Billings, MT 59102

Ph 1: 406-690-3365 (cell) Ph 2: 406-294-5189 Email: [email protected]

Representing: Others (Advocates who are not State employees or providers) (ESAA, Chair) Term Expires: June 30, 2022

Melinda Smith 5230 Lower Martin Road Florence, MT 59833


Representing: Provider - Mental Health Centers Term Expires: June 30, 2021

Mary Windecker PO Box 7635 Missoula, MT 59807


Representing: Provider (BHAM, Chair/CEO) Term Expires:

Lenette Kosovich 1231 North 29th Street Billings, MT 59101


Representing: Provider (BHAM Representative) Term Expires:

Donna Zook 1601 2nd Ave. North, Suite 620 Great Falls, MT 59401


Representing: Representatives from Federally Recognized Tribes (actual all Tribes) and Individual In Recovery Term Expires: June 30, 2021

Lawrence B.G. Rhone Federally Accredited Veteran’s

Advocate NEMT 102 East Third Avenue, Box 985 Scobey, MT 59263


Representing: Others (Advocates who are not State employees or providers) and Individuals/Family Members from Diverse Racial, Ethnic, and LGBTQ Populations (North East Montana Veterans Coalition/Consumer) Term Expires:










BHAC Members updated 03-04-2021 by Dana Geary Courtney Rudbach 375 Grandview Drive Kalispell, MT 59901


Representing: Others (Advocates who are not State employees or providers) Term Expires:

Matt Furlong 3885 Kim Drive Helena, MT 59602


Representing: Parents of children with SED/SUD and Family Members of Individuals in Recovery Term Expires:

Amanda Walton 223 Glenwood Avenue Glendive, MT 59330


Representing: Parent of children with SED/SUD and Individual in Recovery Term Expires:

Virginia “Ginny” Carnes 1406 – 4th Avenue North Great Falls, MT 59401


Representing: Individual in Recovery and Providers-CBHPSS Term Expires:

Todd Tecca 3604 Rainbow Drive Helena, MT 59602


Representing: Individual in Recovery and Family Members of Individuals in Recovery Term Expires:

Jessica Clark 3110 ½ Grant Street Missoula, MT 59801


Representing: Individual in Recovery Term Expires:

Gayla Taylor 2310 North 7th Bozeman, MT 59715


Representing: Legislator, SAA, Consumer Advocate Term Expires:

Jason McNees 501 Euclid Avenue Helena, MT 59601


Representing: Individual in Recovery And Provider Term Expires:











BHAC Members updated 03-04-2021 by Dana Geary

Tyler Steinebach 442 West Alder Missoula, MT 59602


Representing: Individual in Recovery and Individuals/Family Members from Diverse Racial, Ethnic, and LGBTQ Populations (WSAA, Chair)

Term Expires:

Mary Caferro ?


Representing: (Others) Advocates who are not State Employees or providers), Legislator Term Expires:

Dennis Nyland, Ombudsman State of Montana Governor’s Office PO Box 200804 Helena, MT 59620


Representing: State Employee / Montana Mental Health Ombudsman Term Expires:

Kristie Black 1309 East Broadway #A203 Missoula, MT 59802


Representing: Individual in Recovery and Provider from Diverse Racial, Ethnic, and LGBTQ Populations Term Expires:

Lindsay Rumph 1909 Margaret Street, Apt. 3 Missoula, MT 59801


Representing: Families of Individuals In Recovery Term Expires:

Gretchen Neal 323 West Alder Missoula, MT 59802


Representing: Individual in Recovery and Provider (Partnership Health Center-Missoula) Term Expires: Feb. 11th, 2025

Lucas McCoy 316 Broadway Street Apt. 2 Townsend, MT 59644


Representing: Individuals in Recovery and Family Members of Individuals in Recovery Term Expires: Feb. 11th, 2025

Ex-Officio’s










Zoe Barnard (ex-officio) Administrator Addictive & Mental Disorders PO Box 202905 Helena, MT 59620-2905


Representing: State Employee - Mental Health - Adult Term Expires: N/A

Cheryl Cohen (ex-officio) Dept. of Commerce – Housing Division 301 South Park / PO Box 200545 Helena, MT 59620-0545


Representing: State Employee - Housing Programs Term Expires: Feb. 11th, 2025

Rebecca De Camara (ex-officio) Administrator Developmental Services Division 111 North Sanders, Room 307 Helena, MT 59601


Representing: State Employee - Social Services Term Expires: N/A

Melissa Higgins (ex-officio) Community Mental Health Supervisor Addictive & Mental Disorders Div. PO Box 202905 Helena, MT 59620


Representing: State Employee/Mental Health - Adult Term Expires:

Meghan Peel (ex-officio) Children’s Mental Health Bureau 111 North Sanders – Room 307 Helena, MT 59602


Representing: State Employee -Children’s Mental

Health Bureau Term Expires: n/a

Connie Winner (ex-officio) Dept of Corrections 5 South Last Chance Gulch Helena, MT 59601


Representing: State Employee - Criminal Justice Term Expires: N/A









AMDD Staff

Bobbi Perkins, (AMDD) Prevention Bureau Chief Addictive & Mental Disorders PO Box 202905 Helena, MT 59620



Dana Geary (AMDD) Block Grant Project Officer Addictive & Mental Disorders PO Box 202905 Helena, MT 59620



Jami Hansen (AMDD) Program Officer Addictive & Mental Disorders PO Box 202905 Helena, MT 59620



Cindy Dallas (Note Taker) AMDD PO Box 202905 Helena, MT 59620



Mary Collins (AMDD) Treatment Program Manager PO Box 202905 Helena, MT 59620









Start Year: 2020 End Year: 2021

Type of Membership Number Percentage of Total Membership

Total Membership 39

Individuals in Recovery* (to include adults with SMI who are receiving, or have received, mental health services)

10

Family Members of Individuals in Recovery* (to include family members of adults with SMI)

3

Parents of children with SED/SUD* 4

Vacancies (Individuals and Family Members) 0

Others (Advocates who are not State employees or providers) 7

Persons in recovery from or providing treatment for or advocating for SUD services

0

Representatives from Federally Recognized Tribes 1

Total Individuals in Recovery, Family Members & Others 25 64.10%

State Employees 11

Providers 3

Vacancies 0

Total State Employees & Providers 14 35.90%

Individuals/Family Members from Diverse Racial, Ethnic, and LGBTQ Populations

3

Providers from Diverse Racial, Ethnic, and LGBTQ Populations 2

Total Individuals and Providers from Diverse Racial, Ethnic, and LGBTQ Populations

5

Youth/adolescent representative (or member from an organization serving young people)

0


Advisory Council Composition by Member Type

* States are encouraged to select these representatives from state Family/Consumer organizations or include individuals with substance misuse prevention, SUD treatment, and recovery expertise in their Councils.


Footnotes:


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